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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />6,L. 5riWG C!oIJ5riaA10J.} <br />~771-~ GLADE::!; LANE <br />(). f:si~:!~}Z 8~~cd <br /> <br />JOB LOCATION-.lJ}AJ'T A 0':: TeACt A ~nUct)fl r:e LOT SIZE/OJ' X IOOJ AREA SQ,FT. '01 qD V <br />;::RPF:I.1TLQ 00 D <br />SUBDIVISION .=SfCr/~ri L)Av'<'" <br /> <br />PHONE ;/3- '7r:l.-tJ#/A. <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL I.D,# / <br />WORK PROPOSED: ~New Construction ----Addition ----Alteration ~epair ____Install <br /> <br />____Sign/Temp, <br /> <br />____Sign _Move <br /> <br />.--Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />..-- <br /> <br />Vr.r/F ~~~ of Units <br /> <br />.--.Ji/H <br /> <br />____Commercial <br /> <br />____Indust. _Swim. Pool <br /> <br />Other <br /> <br />~estaurant & Health Department Approval <br />BlJ,ILDING SIZE: 7';'4" X t:k'Cj", 01~~ Square Feet, <br /> <br />g I <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 />bLECTRICAL <br />i/MECHANICAL <br />~UMBING <br /> <br />$ qf3; ODD. D D <br /> <br />dOQ AMP Service <br />$ 3.DDO.DD <br /> <br />Valuation of Total Construction <br />~Florida Power Corp. <br /> <br />_W,R,E,C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />,Other <br /> <br />FINISHED FLOOR ELEVATIONS: gCj'(., ,I FT, (flL/ uu'K-Urn ) <br /> <br />****************************************** <br />CONTRACTOR SECTION /J 'I <br />Company G, L. ~lel€. C.O,J~(evC{l O,v <br />State Cert. or Regist, ~~ C(/).-e-o~~9 <br />Signatur City License Registration ~~ /g / <br />~ _,I ~~**************************************** <br /> <br />F.I.F.CTRTCTA~J."l~ J)vlrne.j)- Company 'Z.-\.l\.u...~ ~LKc..'t. ~c2n..u. <br />....... ~ ~~ State Cert, or Regist, ~~ c.)O,,"'4((.~ <br />SilZnaturp~~ ~) City License Registration ~t L n <br />**************************************** <br /> <br /> <br />C-" , . <br />PLlJMRER Gl-\P (StoPut~ 0. '""'M.WL Company CJ <br />~~ .2 M State Cert. or Regist. # <br />Signature ~ ,City License Registration <br />*********************~******************** <br /> <br /> <br />MECHANICAl. iRiUJ~fL, Company gAl/it ~ /.6:>~A""" t.. G~.5 t.~u .J.v<:, <br />~ .L. ~ ~ State Cert. or Regis't. 4~ ('"<4'cv..7'9 V8 <br />Signature h : ~ ' City License Registration 4t p~ <br />~ ****************************************** <br /> <br />OTHER t2;S~~~hfW I I}Jj " <br />r) ~'~ <br />Signature----J.; . AD", ',~ <br />1 <br /> <br />Company GAt! ll) 2.0-01=( JJ b <br />Stat~ Cert. or Regist. # <br />City License Registration # ~ <br /> <br />****************************************** <br /> <br />APPLICATION <br /> <br />n~OVED BY <br /> <br />PERMIT OFFICER. <br /> <br />,- <br />