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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />? R F~ i/U/d /)-- J ~'9'- 'I-7Y <br /> <br />APPLICANT {;, L. STLVS c:.ONs-rfCucn 00 <br />ADDRESS 3774(p (;L~-:S i-N . <br />OWNER Grof2h J S p~ I ~I P ~ <br />JOB LOCATION 5J17 IgT~ ST. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE (('/3) 7f;J, - .944::J- <br /> <br />LOT SIZE <br /> <br />X AREA SQ.FT, <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:____New Construction -1L-Addition ----Alteration ----Repair ____Install <br /> <br />____Sign/Temp, <br />PROPOSED USE: ~Single Family <br /> <br />____S ign <br /> <br />_Move <br /> <br />-Demolish <br /> <br />-.-M/F <br /> <br />____# of Units <br /> <br />----K/H <br /> <br />_ColDllercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />----Restaurant & Health Department Approval <br /> <br />..,.... X "'5"1", <br />B1J.ILDING SIZE: !:!!.=. .~"T <br /> <br />5~1 <br /> <br />Square Fee t , <br /> <br />'4 J <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 />~ILDING <br />vEi.ECTRICAL <br />//MECHANICAL <br />~LUMBING <br /> <br />$ <br /> <br />01 / I SOO. DO <br /> <br />Valuation of Total Construction <br />~Florida Power Corp, <br /> <br />_W,R,E,C, <br /> <br />1.5 0 AMP Service <br />q~,oo <br /> <br />Valuation of Mechanical Installation <br /> <br />$ <br /> <br />GAS <br />~ock <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT, MA- Ta-J G-'i.f~T{rJq <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />811~LD: C~~" L_ STEVe co_pony f',-l-- ~T8/", (lON5T!?uC:T10N <br />_ -r::;;-~. State Cert. or Regist, ~~ Cl-B. COJ--2-139 <br />Signat re-= /-hu <.-L( City License Registration 4~ I g I <br />I ***************************************** <br /> <br />'C-h.k/l.ctJC~ /.J.C ELrc-T CO. Company .~ ~ ~ <br />State Cert, or Regist. #. - <br />City License Registration 4~ - .#'..:2..;0 <br />**************************************** <br /> <br /> <br />-- <br /> <br />PUIMRF.R Q.~15 .D. ~.ue. Company ct . <br />~ ~ ~ State Cert. or Regist. 6 <br />Signature C ,City License Registration <br />*********************~******************** <br /> <br /> <br />MECHANICAL J(QJIP ~e... Company gAII~ ~ /.6:>~A"" t. ~~.5 l"~ J;v~ <br />"J/ j ~ ./ State Cert. or Regist. 4~ C""DV.7., ~ <br />Signature h -~ ~ ~ City License Registration ~~ 7 <br />~ ****************************************** <br /> <br />OTHER (:: \ CJ(.. GA II I D <br />Signature~0~~ <br />) <br /> <br />Company GAUIJ.) 2..oor:-l00 <br />Stat~ Cert, or Regist. # <br />City License Registration # <br /> <br />APPLICATION <br /> <br />~**********~,.*************.*********** <br />T'llWVED BY -.L/-flM..I'.A J "M...~ A/ . . PERMIT OFFICER, <br />