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<br />/JP>~ <br />fif ?t/ <br />/;z~/~ '7Z- <br /> <br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILL5 <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br />\DDRE5S <br /> <br />Marie LaBarge <br /> <br />4R?? r.ot.t.rlgP St.. <br /> <br />7.-Hil', R <br /> <br />PHONE <br /> <br />OWNER <br /> <br />Above <br /> <br />JOB LOCATION <br /> <br />Above <br /> <br />LOT SIZE_X <br /> <br />AREA 5Q.FT, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,iF i1/ -2t,-21- 0000 - (."J CJ...200- L9600 <br /> <br />WORK PROPOSED:____New Construction ..2LAddition ____Alteration ____Repair ____Install <br /> ____sign/Temp, _Sign _~love ____Demolish <br />PROPOSED USE: --,-Single Family _M/F _iF of Units ' .____~11 II <br /> ____Commercial _Indust, ____Swim, . Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM1'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S,** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. ;,* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~LDING <br /> <br />~RMTTS REQUESTED <br /> <br />$ <br /> <br />-.7C/ r/ ~. <br />~ t-~ -Y 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 />" <br /> <br />____PLUMBING GAS <br /> <br />ROOFING SPECIALTY <br />_Frame ~ &/lJrJ,b7G: ~rAUltf/ZI/UlIl4 <br /> <br />TYPE OF CONSTRUCTION: ~Block <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />*********~******************************** <br /> <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company Kpn wi' Py r.onRt -M,'li nr p- TnI' <br />State Cert, or ReGist, iF_ <br />City License Registration ff ~q_#1R1-#41 <br />*********************************** <br /> <br />Signature <br /> <br />Company <br />ti J C State Cert, or Regis t. ii <br />e" ~ City License ReGistration iF <br />/ ' ************************,~**** ,~*,';;; ,'; -I, ;"~ ,'; ,'; '.~;; * <br /> <br />~ __ Company <br />~ \ A f'J J~ State Cert. or Regist. if <br />I\. J U City License Registration iF <br />, ** ** ** * **************** * -{,* ** -{,* * ,',;;;,~, ,',~; * 1,;, ,', ,', <br /> <br /> <br />,JD~ <br /> <br /> <br />Si!?nature <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 1 <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />