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<br />.. <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/teE liLt//?} . <br />ADDRESS 3~.5f5' ?1ILP1 (;RJpL /)1<. 2-/I/~~..s r//i. <br />/Jlfr rf /?/HY /V1'f1C,J-Jr <br />JOB LOCATION,(d,r;Y' t/~S ZffPH~ AItJ6:,C/jfl. Z-I/ILtS" fJALOT' SIZE t S"~ 11)4' AREA sQ. FT. <br />..3 BLOCK ,2t, SUBDIVISION .2 I <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />7F:J.-;;~/6 <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. ~t <br /> <br />~/3t) - t1'l>b/X::) - t:'&> ~O <br /> <br />WORK PROPOSED: P/New Const~uction '~ddition ----Alteration ____.Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Jlove <br /> <br />_Demolish <br /> <br />_M/P <br /> <br />_tt of Units <br /> <br />.____~l/ll <br /> <br />____Commercial <br /> <br />~Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING ~IZE: '-I- ~ X I.- )( l( , <br /> <br />~7t. <br /> <br />JAAiJ n.',..,.. 9' <br />Square Fee t, /7r,.1t~K. r ".... _ <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COm1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. ,H: <br />**COPY OF CONTRACT REQUIRED. <br /> <br />,PERMITS REQUESTED <br /> <br />,,/ BUILDING <br /> <br />$ <br /> <br />~ ? TDO . DO' Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUM B IN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />JHJILDER <br /> <br />/lee /7i..UPl . <br /> <br />CONTRACTOR SECTION <br />Company /9~~ <br />/J/J#A-- /J . State Cert. or Regist. iF <br />v-zr~ .~ City License Registration il <br />****************************************** <br /> <br />/f'L VI"" . <br />c,e~ .r"'/b s>o <br />/ '- t:> <br /> <br />Signature <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Rcgist. U <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. i~ <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />.City License Registration ~} <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or'Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY. <br /> <br /> <br />PERl-lIT OFFICER. <br /> <br />';<;. <br /> <br />. ~ <br />