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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT .;?e/JI/y-e ~L'~ <br />. <br /> <br />ADDRESS 3ff8''1/ j) SL' SI/E " 7-///115 "!:/4 <br />OWNER F/A,ue /S 2/c- t;..(l/'155 e <br />JOB .LOCATION 3,~770 J/t//e'4A/"~ <br /> <br />PHONE <br /> <br />7 tf:f" -&/ R',/ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />tECAL 'DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />, PARCEL 'I:D.4~ .~ f/z-7F''U-,. '.A-K /b~LJI-h~;J{///l/6Whew <br />, <br /> <br />Jn~.:' \ ',\.'.~x <br /> <br />'WORK PR~POS~D :---":NewCo~sti\ic:tfofi' ~Addition <br /> <br />~, ':> ~ <br /> <br />-Alteration <br /> <br />..k..Re'pair <br /> <br />_Install <br /> <br />~Sign/Tentp. <br /> <br />_Sign <br /> <br />_Hov~ <br /> <br />_Demolish <br /> <br />J'L.:,''?::,t't''"; <br />;p'RopolE:D USE: -=--:-Sing1e Family <br /> <br />_MfF <br /> <br />----,-U of Units <br /> <br />__M/H <br /> <br />~Cbmmercia1 <br /> <br />...:.:....-Indust. <br /> <br />--,....Swim. Pool <br /> <br />Other <br /> <br />" <br />~'.;'" ~';<' ._,~1:" <br />"~Res taurant::' & 'Health'1'>epattment <br />;; ; r~;;; i~~,~ !;,;: t'~?~T'_~~i_:r:!..: i <br />'BUILDINC;$IZE :. <br /> <br />Approval <br /> <br />,\~-;-el(;,~,t;':~NT~ri~ !~',.; <br />r"ii:ES OCimNriAL':, <br />~:\CbMME~dAL : <br /> <br />x. <br /> <br />, ) <br /> <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />AtT:~{n{ (~'2:Y:pI.a~~ J!tA~$.& (2) SETS OF BUILDING PLANS & (1) St::T ENERGY F,ORMS. ** <br />AfT~CI:l ,(3)!S'~~~,:.et Bt!tLX>ING PLANS & (1) SET ENERGY FORtIS. ** <br />**COPY)OF CONTRACT REQUIRED, , <br /> <br />PF.RMITS REQUESTF.D <br /> <br />: ~(. ];:.~ .. . <br /> <br />_BUltIHNG <br /> <br />$ <br /> <br />-:. Valuation of Total Cons truction <br /> <br />..,. ,', <br />_ELECTRICAL <br />-LMECHANICAL <br /> <br />AMP Service <br /> <br />Florida Po\-'er Corp. <br /> <br />W,R.E.C. <br /> <br />$ <br /> <br />/ IP 7;Z O..f! <br /> <br />Valuation of Mechanical Installation <br /> <br />_PUJMBUfG <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Rcgist. Y <br />City License Registration ~ <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICT AN \:L '-~(.. E~ .-, () Company -z...-\,-\ \l,..L-S t=' ~S:>C'I ~~u. <br />~ ...,('J State Cert. or Regis t. iF C)O() ?--l(.,'C <br />Si!matur~r... . ~/ City License Registration 1/ I () <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration 0 <br />********************~**************~****** <br /> <br />Signature <br /> <br /> <br />Company ~/4/ n.tV/V~ <br />State Cert. or Regist. I,! ,-ht~/?'~~cfr'" <br />City License Registratio~ 0 . ~ <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERl-lIT OFFICER. <br />