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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT GL Ll S~ <br />ADDRESS '377 Cj .6 GL.A-lX7,$' Lf+.tJ E <br />OWNER J!J f!.._ '{ tY1fL", ~CCXJL <br />JOB LOCATION Lof bq.;70 foYiY/oo,le- <br />(, <br /> <br />LEGAL DESCRIPTION: LOT(S) 69-70 <br />PARCEL 1.D,# .-;.e2ro -....2/ -/d-O- ro9 <br /> <br />~GTlOAJ <br /> <br />BLOCK <br /> <br />PHONE 1~'- o,..Y 4 '2 <br />(5't.u~ C)A-#CS) <br />LOT SIZE/22 X j€ AREA SQ. FT . <br />SUBDIVISION S I LuCll DA1L, <br /> <br />WORK PROPOSED:_New Construction .~ Addition ~lteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />_Move <br /> <br />~emolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_4~ of Units <br /> <br />.-JI/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br />.. <br /> <br />X <br /> <br />15() <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-&BUILDING <br />XELECTRICAL <br />~MECHANICAL <br /> <br />$ fZ.J '1c;e3- 01. <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R,E,C. <br /> <br />$ 3~...c:ho <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. J1'l44L& L\4SDN6 <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION ~ <br />Company L. ~Ei E Q.c 1J5t , <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN R. lWt\{2.1) Po FTIG1-- t> Company z.-,,-.l\u...~ ~L~'\. ~cS(\.u, <br />'-. ~ ~~~ State Cert. or Regist. 4~ uO(,;..~(~~ <br />Si!mature~~-- ~) City License Reg1stration 4~ lO <br />**************************************** <br /> <br />PLUMBER ~tZ{S-TOP~ s. BA~ Company t1 . <br />~_ (/ ~ i' State Cert. or Regist. # <br />Signature C ~ ...L>. ~ City License Registration <br />****************************************** <br /> <br /> <br />MECHANICAL <br />Signature .% -L .4 -<- <br />, <br /> <br />Company gAH~ ~ /'..t!!P~A"'; t.. 6'~.5 eA'fi <br />State Cert. or Regis.t. # C./lCcy.,7., V8 <br />City License Registration 4~ 7 g <br />****************************************** <br /> <br />J-'Vt:. <br /> <br />"THER <br /> <br />Signatl1-a <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION, <br /> <br />'WED BY <br /> <br />PERMIT OFFIc.ER. <br />