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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />IJ;; ~ c ;..) F E pJ e f;;;:- ~ 0 -' <br />~ 2--.5 'I ;J L {//'1 <br />OWNER ..9.1.. ",fa S e PII 011-7;1 (., / C <br />JOB LOCATION ~'IZ.5 ~~ /I{/(': <br /> <br />ST. <br /> <br />2 M//J <br />~)/(//Zc;l <br /> <br />PHONE <br /> <br />../ . <br />7.?ct,~ J ~ Y l <br /> <br />APPLICANT <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.i~ <br /> <br />WORK PROPOSED:_New Construction ____Addition ----Alteration ____Repair ~Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____~Iove <br /> <br />_Demolish <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />__HIll <br />F'E-!lI(!/fV? Other <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_i~ of Units <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 />COl'-U'IERCIAL : <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 REQUESTED <br /> <br />~BUILDING <br /> <br />$ 9 f!.J-:' 00 <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 />_PLUMBI.N'G <br /> <br />... . <br />.~-=---GAS <br /> <br />ROOFH1G <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTI.ON: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />nUlI.DER <br />Signature ~ <br /> <br />tJk <br /> <br />CONTRACTOR SECTION <br />Company j) 11-[;. C cJ Fc/!/ b:::- <br />State Cert. or Regist. 0 <br />City License Registration 4~ <br />****************************************** <br /> <br /><! o~ <br /> <br />s fJ t a~ I 9 Z- <br /> <br />ET,ECTRTCT AN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration fl <br />****************************************** <br /> <br />PUlMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />C1ty License Registration ~ <br />****************************************** <br /> <br />fo-IECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY ~~::.;~.*~.:;:;;:;::.*~*********'** PERMIT OFFICER. <br />