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<br />APPLXCATXON FOR PER}lXT <br />CXTY OF ZEPHYRHILLS <br />BUILDXNG DEPARn1ENT <br /> <br />APPLICANT G, L ~ S T6Jt .,c~ S-'r<L-uC TlON <br />ADDRESS S77. Y b G-WF:S: LA.Ns <br />OWNER JQttl\' m'/ L\D8:D~M,lS <br />JOB LOCATION5LW.&7 oA-lLS <br />LEGAL DESCRIPTION: LOT(S)~~ <br /> <br />PHONE <br /> <br />7~ '2 - qcr '--t( <br /> <br />'. <br /> <br />(; 7// b <br /> <br />LOT SIZE~S- X (~ AREA SQ.FT.~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br />_commercial <br /> <br />_Sign <br /> <br />____Hove ____Demolish <br /> <br />~/F <br /> <br />_# of Uni ts ,._M/H <br /> <br />_Indust. <br /> <br />_Swim., Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />BUILDING SIZE: --5Q.x.SR: ~4. Z<'2Lsquare Feet, :ZS2--=! B~.<O <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 />:EF.RMITS REOUESTED <br /> <br />~BUILDING $-1/6.' SZfJ (. co. Valuation of Total Construction <br />~ELECTRICAL ~~ <br />~MECHANICAL $ ~/.~, <br /> <br />#- <br /> <br />~PLUMBING GAS <br />TYPE OF CONSTRUCTION: ~Block ____Frame _Steel <br />FINISHED FLOOR ELEVATIONS :E!it. ~ FT. <br /> <br />AMP Service <br /> <br />K <br />, <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />*********~******************************** <br /> <br /> <br />, CONTRACTOR SECTION..c. L 5;"":::; J~ <br />cAJ, Company L2~ \ ~~t <br />State Cert. or Regist. # <br />City License Registration n <br />****************************************** <br /> <br />Cu.--s-, ' <br />/rf7 <br />. <br /> <br />:T::~~~d5 Company 'L-",,-,-~ E\.C,-, S;:,u <br />. State Cert. or I\egis t. Ii c;.\,) ~ -:l...l b~ <br />~'" ~. City License Registration Ii f c) <br />***************************************** <br /> <br />Signature <br /> <br />, Company CIIf/~ 13A-1Ij( ~L~rWt'JJh <br /> <br />~ _ _~ 5J '1~ State Cert. or Regist. i! K" 00 { , <br />'k2. . ~ >7. City License Registration fF i.i7 <br />, ****************************************** <br /> <br />PLUMBER <br /> <br />MECHANT CA L Company ,Lf IfI9 H ~',5 r:e t!:) ~ A~ L G liS ... '1/<" I A/(. <br />-V ___ ~ State Cert. or Regist. if c" c. ,/J~ "" <br />Signature ~ ~ ' City License Registration ii 7R <br />~ ****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY <br /> <br />~~~~**********~j************************* <br />L{...Ll~ ~ 2!:J- "./\.An". -r " PERI-lIT OFFICER. <br />