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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT G. L. S-reJf C!-oNSTRVC:'r,00 <br />:3 i7 4-lo &t.A ()t5, L~ . - 2c-PtJ~ IC U I L~.s <br />OWNER l<OfOF e-r t ,IAttJ f=.:~PEe S <br />JOB LOCATION L01 I .;)TE"PhJ0J'.;; &-u:.:AJ( 6~L-f5) <br />LEGAL DESCRIPTION: LOT(S) , <br /> <br />PHONE <br /> <br />I'?if -'1\f.IfJ- <br /> <br />ADDRESS <br /> <br />BLOCK <br /> <br />LOT SIZE qo X /40 AREA SQ. FT. /2) b(X) <br />SUBDIVISION 5IL~02~ ClA.~ 50 <br /> <br />PARCEL I.D.# <br />WORK PROPOSED:~W Construction ----Addition ----Alteration _Repair _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~ngle Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />~emolish <br /> <br />_M/F <br /> <br />_~~ of Uni ts <br /> <br />.-H/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />I . . f <br />BtJ,ILDING SIZE: i.:s X b 7 , <br /> <br />'352~ <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 />V BUILDING <br />VELECTRICAL <br />...4L'MECHANI CAL <br /> <br />PERMITS REOUESTED <br />$---1/7:) OCLJ _ cr.~ Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />')z<:"x"),.. 00 Valuation of Mechanical Installation <br /> <br />~UMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: ~Block _Frame _Steel <br />FINISHED FLOOR ELEVATIONS: 98.ta FT. <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />****************************************** <br /> <br />Signatur <br /> <br /> <br />CONTRACTOR SECEON . \ <br />Company , L. S,e-It CO f-,JSTeu.Tl DIJ <br />State Cert. or Regist. # Qro-Q.Od-~13'1 <br />, City License Registration # j 8' I <br />***************************************** <br /> <br />ELECTRICIAN R.\~1) \)U~Flca.c> CompanyZ-\..l\u...~ ~L~"_ ~~n.."". <br />r~~ ~ro State Cert. or Regist. 4~ uoc.;..A.(~~ <br />Silmatu City License Registration 4t l n <br />**************************************** <br /> <br />PLlJ,MRER r~S7'OPf.d-t.t ~. ~K... . Company 0 's <br />7 Jf _" ~.~ (/ At )' State Cert. or Regist. # <br />Signature Vl./7~ ~.~ City License Registration <br />*********************~******************** <br /> <br /> <br />MECHANICAL ~(0 ~ <br />Signature .% :L 4 -<- <br />, <br /> <br />Company gAH,,( -:s ./'#&:I~A~ t:. 6~.$ l.~h <br />State Cert. or Regisrt. # CAlLc".79 V8 <br />City License Registration ~t IJ fY <br />****************************************** <br /> <br />.J""'~t:. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />Stat~ Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION <br /> <br />"'ROVEll BY <br /> <br />* ~*,** ** *****~**** * * ** ***** **** * ** * * ** '* <br /> <br />j{aM~ ~. , <br /> <br />PERMIT OFFICER. <br />