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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Gold Keys Mobile Home Sales <br />APPLICANT <br /> <br />Jerry H. Moates <br /> <br />ADDRESS <br /> <br />34140 Highway 54 West ~ephyrhills <br /> <br />PHONE <br /> <br />(813) 783-6087 <br /> <br />OWNER Gerald & JacQueline Lemieux <br />JOB LOCATION 38004 Lawanda Loop Lot #30 <br /> <br />LOT SIZE~X 95 AREA SQ. FT. 8,075 <br /> <br />LEGAL DESCRIPTION: LOT(S) 0300 BLOCK OOOOOSUBDIVISION \\Taywurd Wind <br />PARCEL I. D .IF l4-26-2l-0l6~-00000-0300 <br /> <br />WORK PROPOSED: XX New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F <br /> <br />_IF of Uni ts <br /> <br />XXX M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />f <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />27 X 50 , <br /> <br />1.150 <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />XX BUILDING <br />XX ELECTRICAL <br />X 1:4' <br />-LMECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />XXX <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-X,LPLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel Mobile Home Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />::::::~:~N ~ Company E~~MJ ;s~t>~wt~ <br />. 0 - <t;:;JJ. ~~;.. ..~...m~:~m~~~:;;;m::~~;~ " <br /> <br />&J"- <br /> <br />/f,/ <br /> <br />PLUMBER <br />Signaturect;:(), _1: <br /> <br />Company -t=.oV l~I:lI.'}~b~"t-AL <br />~ ~ State Cert. or Regist. " <br />. City License Registration IF <br />.. *********** *********:k****i'*******'~"**t:*1i , <br /> <br />Oo.d't~~~s.. <br />?h <br /> <br />MECHANICA~ ;. COmpaiiy t;:J0 V I ~~ M t:..v'll'liL <br />IDx ('(j[2 ~ . State Cert. or Regist. 41 <br />Signature \ . . City License Registration !F <br />....... ......................****...*** <br /> <br />(b.c) ~~M'rn e So <br />~'I <br /> <br />Company <br />State C~rt. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />2Z~*~~~****;}1**~****~***~*~~~~**~~*~~~~~ <br /> <br />. . ~~.~ . ~".;- ..w.. .... """" <br /> <br />PERMIT OFFICER. <br />