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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />??d-~RI1c9 <br />\. <br /> <br />OWNER <br />JOB LOCATION ",' /9'2;[ LOT' SIZE t.>D X ! Lfa AREA SQ. FT. cg If >>P <br />LEGAL DESCRIPTION: LOT(S) ! Q' g;. BLOCK I r rr'SUBDIVISION c6 ~~1~1?u.. <br />PARCEL I.D.il //_j{,-:JI-DD/O-I'fgoO-OQLO ~~ (i~z p. /. <br />WORK PROPOSED: ~New Constru~tion ____Addition ----Alteration ____He ir ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />_t~ of Units <br /> <br />.____~l/ H <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 Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />Cmfr1ERCIAL : <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 fORl-IS. ** <br />**COPY Of CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ sS; oC 0, <br /> <br />. 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 />_PLUMBIN'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 />Signature <br /> <br />****************************************** <br />n IJ /) a tI CONTRACTOR SECTION <br />L~~~l'~<1~ ;fj ~..(?J.O/Y1.j Company <br />r, /J () ) ^ State Cert. or Regist, if <br />((.j!1~X{}AJ/. ~/<;.R..Jo,ryt./ City License Registration iF <br />****************************************** <br /> <br />ntJTLDER <br /> <br />ELECTRICIAN ~ _ '~'~W~\~L~ Company '"2--~,,--"-5.:' € \....~c.:.^~, ~~~~': <br />~ State Cerr. or Regist. II OOu:;LI~~ <br />Si!!nat t..J . City License Registration il tr-~ <br />. ****************************************** <br /> <br /> <br />/I.')' 1) ~ <br />Company C !<.fS KA HI( TAl J1 , <br />State Cert. or Regist, ~,!-----1.'( rt)6~(: ?( <br />Ci ty License Regis tra t ion il C; 7 <br />****************************************** <br />( <br />---==::. <br /> <br />/0"6 <br /> <br />Signature <br /> <br /> <br />Signature <br /> <br />(ll' f <br />Company 5 tt."",t '/./7 '/ /J ,. <;; (' c: C! /1- <br />State Cert. or Regis t. i,! (\rV\ 60 f'lrLftC I <br />Ul:yLicense Registration # 2 <br /> <br />Company <br />Sta~e Cert. or Regist. 0 <br />Ci~" License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~~**~*~**&*******~. 6&~*.c*~~~~~i'~~~~~~~~~ <br /> <br />/1 "'- ;~t' ;;r, ~4~A.;-' ..".:" H' 'H <br /> <br />PEmur OFFICER. <br />