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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT b, L, 3>r/;2JE 0..Dt0~lC.uCn 010 <br />ADDRESS ~77 4 " Gn.. A-0 ES. W, <br />OWNER hA-e ~ I?- t1\.,e.s, 00W,J S1mo0Ek: <br />JOB LOCATION G:, 0/1 N DiCTU L:4-t.-e DR". <br /> <br />PHONE <br /> <br />78~-'1ljq.d- <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D . ~~ <br />WORK PROPOSED: ~ Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ngle Family <br /> <br />_Sign <br /> <br />____Move <br /> <br />-Demolish <br /> <br />~/F <br /> <br />____~~ of Uni ts <br /> <br />----1'I/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />----Restaurant & Health Department Approval <br /> <br />B1J.ILDING SIZE: <br /> <br />60 <br /> <br />x b(, , <br /> <br />5U If <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 />~UILDING <br />~ECTRICAL <br />~E~ICAL <br />~UMBING <br /> <br />$ 10'1000.. 01> <br />1.aJ <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />~ Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ~Frame ____Steel <br />FINISHED FLOOR ELEVATIONS:~FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />Signatur <br /> <br /> <br />CONTRACTOR SECT~N <br />Company ,L . STEVE. Gof.-fi)TR-uCTt 0 D <br />State Cert. or Regist. ~~ Q.8"COddl3Cf <br />City License Registration # I~I <br />***************************************** <br /> <br />ET.F.CTRTCTAN lC.lQ.~~ bl)F~Il::.L.j) Company . 'Z.-l.l\u...'ll. ~L.~'\_ Sa~I\.~' <br />r~ ~ State Cert. or Regist. # <>o",,-d.11o <br />SiI;matu City License Registration ~~ L n <br />**************************************** <br /> <br />PLUMBER U4eJS(d.?./-Jt1L ';;', 6AY-r:. Company a . <br />~ ..2 M State Cert. or Regist. ~t <br />Signature C . City License Registration <br />****************************************** <br /> <br /> <br />MECHANICAL k::,0J1U DAWi: Company 'cAHJ( ~ r'~~~"" t.. b~.$ l.~ft JIV~ <br />'J/ L ~ ~ State Cert. or Regisrt. ~~ C"'ILDV-7., ~8 <br />Signature N - p. City License Registration ~~ R' <br />~ ****************************************** <br /> <br />OTHF.R R\(x GAVLl) Company CAV,A) P-DO~D G. <br />n_ ~ ~ State. Cert. or Regist. ~~ <br />Signatu~j-i f,A.f..J...A- City License Registration 1t 30 <br /> <br />*~*********~************************* <br />APPLlCATIDN "ROVED r -0 - ~//\..d>n'- PERMIT DFFICER. <br /> <br /> <br /> <br />~ <br />