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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Dr. tktmeJ /l?t'jJO.'" <br />ADDRESS Sl.S-,,\- Gull IJOlt!e.U{rJ <br />OWNER i/'t:i(/IU5 rn~.JO.'l <br />JOB LOCATION S-bS-~- 6u " fSc...le"c<rc! <br /> <br />'2-1-1, t lj <br /> <br />PHONE -1 P2 '- "3?3 0 <br /> <br />~-H, ~(j <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.1~ <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_~'love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />____M/F <br /> <br />_1~ of Units <br /> <br />__H/H <br /> <br />.-X-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 />'3 SoO <br /> <br />Square Fee t, <br /> <br />.J' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COl'11'lERCIAL : <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 FOR~lS.'~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMITS REQUESTED <br /> <br />....!-BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-i.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 />q' X <br /> <br />ROOFING <br /> <br />(he lei I SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. iF <br />City License Registration ~~ <br />****************************************** <br /> <br />nUIT.DER <br /> <br />Signature <br /> <br />SiC'nBture <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration a <br />****************************************** <br /> <br />E1.ECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration ~'~ <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration J <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br />Signature ~ ~:... <br /> <br />Company C,..J-S ~ () F~"~ ~-"'L.. <br />State Cert. or Regis t, i; e.LC 0 1... '1 :;- S I <br />City License Registration if -4=fj, Y <br /> <br />****************************************** <br /> <br />( <br /> <br />APPLICATION APPROVED BY <br /> <br />PER1'lIT OFFICER. <br /> <br />:; , <br /> <br />~,~, <br />