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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT G. L. ~T8'lf' U00S-rWC':C/OV <br /> <br />ADDRESS 3f7Y-~ Gt.t\-{[)ES L10 ~ <br /> <br />OWNER G- l- . stelE C.ou~TeuC:T J D.J...J <br />Ji/II!J .u aP'3 -4- 6--S",S-.s /!J ..llt2~~ .J..^- <br />JOB LOCATION ~& 'B ()FTette-r A l:::uYlEY <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE -7'(. d, .-44 l,J '~ <br /> <br />BLOCK <br /> <br />LOT SIZE (Ofl I X IDo' AREA SQ"FT" IO,rOo <br />SUBDIVISION_3~~E],JTLDOO D <br /> <br />PARCEL I.D"# <br /> <br />WORK PROPOSED: ~ew Construction .........-Addition .........-Alteration ----Repair ____Install <br /> <br />____Sign/Temp" <br /> <br />____S ign <br />~'/F <br /> <br />_Move <br /> <br />-Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />d-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 />',1" <br />BUILDING SIZE: 7-;; '-I X loft; \p " <br />, <br /> <br />dd~~ <br /> <br />Square Feet, <br /> <br />gl <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 />V~UILDING <br />~ELECTRICAL <br />~ECHANICAL <br /> <br />$ Cis-: ODD, DO <br />;), f'>-rD <br />~ ~ AMP Service <br />$ 3. trtrD ' D 0 <br /> <br />Valuation of Total Construction <br /> <br />/' <br />~ Florida Power Corp. <br /> <br />_W"R"E"C" <br /> <br />Valuation of Mechanical Installation <br /> <br />.~LUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ~Frame ____Steel <br />FINISHED FLOOR ELEVATIONS: 891 ~ II FT" ((~ II.) IrV.J)fr-,) <br /> <br />Other <br /> <br />****************************************** <br />CONTRACTOR SECTION ~ <br />Company (;..,L. STeJE COUSTf2-cCTIOU <br />State Cert" or Regist. 4~ ~~- C Oddl39 <br />Signature~ City License Registration # I!? J <br />fr:2__~; ~~~************************************ <br /> <br />F.T.F.CTRICI-AN.B?~''j)'J'''''';\ ~tD Company ''Z.-~-l\u..~ ~L..~~_ S.~IL\J. <br />~ ~~ State Cert" or Regist. ~~ ~o\O<.)...l c..~ <br />SilZnatu~ ~ ~) City License Registration ~t L n <br />**************************************** <br /> <br /> <br />PLllMBF.R r lle.i SToP ~ ..s: ~.{.J~ Company 0 ' <br />~ .2 M State Cert" or Regist. 4~ <br />Signature C . City License Registration it <br />*********************~******************** <br /> <br /> <br />MECHANICALI(e' oj ,~. Company gAl/it ~ /.&:>~A"" t.. t5~s l"~ j;v~ <br />'J/ State Cert. or Regist" 4~ C<4LDV..1''f V8 <br />Signature A" :L. 4 ~ City License Registration f~ /'~ <br />~ ****************************************** <br /> <br />OTHER ~.lC.K.' C~ 10 <br /> <br />1'0 <br /> <br />~-C~ <br />Signature'~::9-~ r~, -..c ~ <br /> <br />Company ~~/0 eOO~I1-JG <br />State Cert. or Regist. # <br />City License Registration it ..3D <br /> <br />****************************************** <br /> <br />APPLICATION <br /> <br />"ROVED BY <br /> <br />PERMIT OFFICER" <br />