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<br />APPL'ICAT'ION FOR PERl'l'IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt'IENT <br /> <br />APPLICANT <br /> <br />GL1 5TBJE i';...:CbNS~tlON <br />ADDRESS "<,/7 Lf ~ C;LA,,::YE~S' LN ~ <br />OWNER -J D'M. .5 -cDl FNS <br />57 J to hffl <br /> <br />7<i2-Q4I..{L <br /> <br />PHONE <br /> <br />'. <br /> <br />JOB LOCATION <br /> <br />.~ <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.4t <br /> <br />WORK PROPOSED:____New Construction ~Addition ~Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_~I()ve <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~commercial <br /> <br />~/F <br /> <br />_4t of Units <br /> <br />,._M/H <br /> <br />_Indust. <br /> <br />____Swim.. Poo 1 <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ~1":bx 2..( · <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 FORHS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~F.RMIT5 REQUE5TED <br /> <br />X-BUILDING <br />AELECTRICAL <br />~MECHANICAL <br />_PLUMBING <br /> <br />$ <br /> <br />~al?0l0 <br />/ <br />~ AMP Service <br /> <br />Z8S? r <br /> <br />Valuation of Total Construction <br />~Florida power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.~.... . <br /> <br />TYPE OF CONSTRUCTION: ~Block _Frame ____Steel <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Other <br /> <br />*********~******************************** <br /> <br />Signature <br /> <br /> <br />r-ONTRACTOR fiF.CTIO~ L S . <br />. Company 0, _l ;]flJf:- <br />State Cert. or Regist. D <br />City License Registration D <br />****************************************** <br /> <br />('.njJj~7T[)W <br /> <br />:T~:~~~d:) . Company 'L-\-\'U-5 €LC~7 ~<~ <br />. State Cert. or Regist. it bO ~ -:LILS- <br />~'" 1 ._ City License Registration il I c) . <br />***************************************** <br /> <br />PIJJMRtR . Company ~"(~/M') J /3A(l1t f!:;/-;./~t;..,(/ h <br />41, -' ~ ~ ~ /! -iL State Cert. or Reg1St. ,! 1(. <br />Signature -,. F./VLn ';It q j Y'I 1 City License Registration i~ . t;7- <br />. * *********************** ***** ** ** o{, 0{: ;:0{: o{:;: o{: ,~;: <br /> <br />MECHAN1CAT. Company ,4'4H ~ ',5 r;eeUJA.-vL GIiS L 7J/< I,A/C <br />-V ./ / " !:. S ta te Cert. or Regis t. if C. A CD "J~ "',tr <br />Signature ."L-- ~~ . City License Registrationii 7~ <br />~ ****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration U <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~.......~................*.......... <br />". ~ O.(lA!kT " <br /> <br />PERMIT OFFICER. <br />