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<br />AfPLiCAT10N FOR PERMIT <br />CITY OPZEPHYRHILLS <br />BuiWJ:NG DEPARTMENT .' <br /> <br />- <br /> <br />.' · ~...~ '~.:.:;.U...j r' <br /> <br />:::~:::NT \\~~Q~~~~~I <br /> <br />~~ ~Q).A~~. <br />~ ~~~ '~tt. -:D(4~ <br /> <br />._ ___.._.._..~ .i,..:.~i...',._.:,'... <br /> <br /> <br />PHON~-~9c4I;\il~ ~~1G~ <br /> <br />.'t'- p~'" ,; .,' _. '. I _ .. _ . . . <br /> <br />OWNER <br /> <br />.... <br /> <br />JOB LOCATION <br /> <br />.LOT SIZE <br /> <br />. . " '.' '.;-~: ~:-.:..- .~ . _. -, <br />X AREA SQ. FT. <br /> <br />'. 1/) : . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION '. <br />. ...... ". .' .... .-" <br /> <br />PARCEL 1. D. ~~ <br /> <br />." . 1 .. <br /> <br />WORK PROPOSED:____New Construction ----Addition ~lteration ----Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move ----Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />____# of Units .----"/H <br /> <br />____Commercial <br /> <br />---.:...Indus t:. <br /> <br />____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: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS... <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____BUILDING <br /> <br />PF.RMITS RF.OUF.STED <br />, \ 7)~-CJ:::> Valuation of Total Construction <br /> <br />$' <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />>< ROOFING <br /> <br />SPE~IALTY <br /> <br />. <br />____PLUMBING <br /> <br />.#' . <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />.' Company ~ <br />. State Cert. or Regist. # /' <br />City License Regis~ration)( <br />********************************.******.~ <br /> <br />Signature <br /> <br />::::::~::~N <br /> <br />/ <br />/ <br />./ <br /> <br />Company <br />State Cert. or R~gist. # <br />City License Registratio <br />****************************************** <br /> <br /> <br />Signat\,lre <br /> <br /> <br />Company <br />State Cert. or Resist. # <br />City License Registration <br />*****************************************~ <br /> <br /> <br />Signature <br /> <br />Company . <br />State Cert. or Regist. # //' <br />City License Registration 4~ /.,/ <br />******************************************. ? <br /> <br />OTHER ~~, G.~~~~ <br /> <br />Signature . .~ <br /> <br />Company ~\N(,..... ..... . <br />State Cert. or Regist. ~~_Q~~(::;)O:SOl(o~ <br />City License Registration # ~~~ <br /> <br />****************************************** <br />'. <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />