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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />G. <br /> <br />L, <br /> <br />STEviE LOA.JSTIZ0CT/D",J <br />G I A-- 0 E .s L 1/-.0 E PHONE 7 CZ).. - '7 Y V ..L <br />0, J{)t0E.s <br /> <br />ADDRESS <br /> <br />..177 l../G <br /> <br />OWNER <br /> <br />\ <br />/YlILTv,.J <br /> <br />JOB LOCATION <br /> <br />j(;, / ..\- <br /> <br />GItLL <br /> <br />ISL V D . <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ,FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />" PARCEL I.D.# (1- ;)..'-01.1- ()<JI () - Cj-~{)() - c)() '70 <br /> <br />WORK PROPOSED:_New Construction ----Addition ~ ----Repair _Install <br />I!p rJ,)o,) P-T t D'V <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br />~commercial <br /> <br />~/F <br /> <br />/5 ~~ of Units <br /> <br />.-M/H <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BQILDING SIZE: <br /> <br />x <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 FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_W,R,E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />G <br /> <br /> <br />CONTRACTOR SECTION /1 -, .AJ <br />Company G. ( . ..s Tf2{ (;. I..:.-VAJSr /G()CTI () <br />State Cert. or Regist. ~~ <!...r.3.. Q. 0 c3dl3-SJ <br />City License Registration # I~I <br />****************************************** <br /> <br />Signatur <br /> <br />F.T.F.r:TRTr:T AN f!.."c..WltfUJ /)..vr=plf,El..b Company . 'Z.-\..l\u..~ ~L~'\'. 5.at\.v. <br />~ ~~~ State Cert, or Regist, 4~ c.:>ou:l...( (..~ <br />Sillnatu~~ ~ J City License Registration 4~ l n <br />**************************************** <br /> <br />PLUMBER ~.;) 6, I3A-NfC... Company a 's <br />., //~_ () d / State Cert. or Regist. # <br />Signature C~ ~. ~ City License Registration ~~ <br />*********************~******************** <br /> <br /> <br />MECHANICAL ~, AJ ~ <br />Signature .% ~.L .4 A- <br />, <br /> <br />Company gAH~ ~ ./'.6:I~A.v t.. b~.5 l. ~k <br />State Cert. or Regisrt. # C<4C.DY3"18 <br />City License Registration 4~ ;7, <br />****************************************** <br /> <br />J-;Vt;. <br /> <br />OTHER <br /> <br />Company <br />Stat~ Cert, or Regist. # <br />City License Registration # <br /> <br />Signatt1re <br /> <br />APPLICATION <br /> <br />n~OVED BY <br /> <br />*~********~**~'************************** <br />LL.~":~r::~..OAAJL....Y" ~ . ':'.. .::~~MIT OFFICER, <br /> <br /> <br />.~ . ~ J, " <br /> <br />. r <br /> <br />.; .t <br /> <br />''lo' ", <br />. ,,~...' <br />