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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT am . ~~1!t <br /> <br />ADDRESS (LJ u.3 5' / ~~ VV .Sf ~ <br />Q <br />OWNER '-~~ <br />C. <br />JOB LOCATION '~~7r~ <br /> <br />PHONE <br /> <br />,?J~;)~3?hO <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~j <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_I'Iove <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />____~j of Uni ts <br /> <br />.____r-I/ II <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Pee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COill1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PORI'IS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERM1TS REOUESTED <br /> <br />_BUILDING <br />~LECTRICAL <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Total ,Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ <br /> <br />~dtJO,OCJ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIAl.TY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration f~ <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECT"T CT6M C;;;J.~-I>-B-.>LL_~.1 /':'d }rompany '?1.pt<.<tAk f t'd >".! r'~h;" ) &u.~.~.,) <br />:::::: ..~ nr-~~tate Cert. or Re~st'l" COo 'Z-lloS;- <br />. '" ure X~ ' City License Registration,(i! \0 <br />~**********************************U***L <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration fl <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signa tureX <br /> <br />(]tCt--L;t:1YX~ ~. (?A.4J.-j!-1.~-0 Company (!A-d,tl~~,Ic~,/ <br />U State Cert. or Regist. 0 <br />City License Registration il <br />****************************************** <br /> <br />~CJ <br />'/J'J 00 /9907 <br /> <br />r-IECHANICAL <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration r <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY, <br /> <br />.......* **... * * * ****~ **** *.... * * 1, * l' J. J. i' .'. J. J. J_.... .'. .'. J, J. J. .'. <br /> <br />J! ~: PAJ ~A ",' -y' :HH <br /> <br />PERl-lIT OFFICER. <br />