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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />GK'IrV\AN ..~ "'-/1'-1\ ~ 10 <br />. r ' <br />ADDRESS 9'1 ~~ S S ~ - S4. U\.)c'S~ <br /> <br />OWNER~. 0 I i0 \.:i <2'-1""';" f\.; ~ <br />"03-/ '", - <br />JOB LOCATION__~ \O-L- ~lA..Q.xt:- LOT SIZE::Xj ~ AREA SQ.FT. \<;43 <br /> <br />LEGAL DESCRIPTION: LOT (s) -1 <J:.Jr...fy C(J BLOCK \ O~ SUBDIVISION <br />11-;(k-;2/ - J- JO~ -1;9 <br /> <br />1____ <br />,r--... D ",' '\ <br />I '\,\.u I JV <br /> <br />CO V\J S +p L."-c'-\- ~ U ,-J <br />PHONE '"\: 3 2, / 09 "2 -S- <br /> <br />'. <br /> <br />PARCEL I.D.j~ <br /> <br />WORK PROPOSED: ' /New Construction _Addition _Alteration _Repair _Install <br /> ,~n/Temp, _Sign _Hove _Demolish <br />PROPOSED USE: . Single Family _M/F _j~ of Uni ts ,._M/H <br /> _Commercial _Indust. _Swim.... Pool Other <br /> _Restaurant & Health Department Approval <br />BUILDING SIZE: tio ~, \ ~t\- S Square Feet, st Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />:pERMITS REOUESTED <br /> <br />LBUILDING <br />/ ELECTRICAL <br />LMECHANICAL <br />I PLUMBING <br /> <br />$ 53 /rDU . 6b <br /> <br />---1512----AMP Service <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~Ck <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Frame <br /> <br />_Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />~ CONTRACTOR SE~ ~ i (f --- <br />"unDER ~()~ :::::ri\J t- company' ,man :f)fij, 1t2.v,c <br />, l St::>.te Cert. or Regist. iF Cg~-o 'S5" l ~4 <br />Signature c:::------ City License Registration iF <br />****************************************** <br /> <br />Signature <br /> <br />Company MOl r 1-; 1"\ (;/ ~ err t e- <br />n State Cert. or.Regist. iF El('o(J/IIIC <br />~. c..)tA City License Registration iF <br />*****K************************************ <br /> <br />~ companyf~ t/....,,<" <br /> <br />,11 iJ State Cert. or Regis1:.. I,! <br />JIlL{ KlV'- City License Registration <br />****************************************** <br /> <br />f,LECTRTCTAN <br />Signature ~M Y. <br /> <br />PLUMBER <br /> <br />P&~h/j · <br />i~ I:;J. S <br />, <br /> <br />Signature <br /> <br />__ Company '&t.h ( '6 PI' f) pa-ne ~ f., 4--fc ..Jtic. <br />{\o, "" .M..AL State Cert, orRegist, Ii CAGGj::l'jofl? <br />~~ City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />********~********************************* <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />. <br />........, <br />..-.J <br />