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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />GAR-I.( <br />JOB LOCATION {Q~O t3R.GJJTt.000D '"'Df? ~ <br /> <br />G . L. STEVe (!of-.).sTQ.UC:l{ 00 <br />.377lf b Gt..A-D EC k.0 . <br />L. S.Tev~ <br /> <br />PHONE (-XI 3) 78a. -&j~" L <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />LOT SIZE <br /> <br />X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />JO <br /> <br />~4.C.-r <br />SLOCK D SUBDIVISION ""'B(2.FJ..)TuOooJ) <br /> <br />PARCEL I.D.# 3-,,;)(p-.,)1- 0030 - OODoo -I D <br />WORK PROPOSED:~ Construction ----Addition ----Alteration ----Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____S ign <br /> <br />_Move <br /> <br />~emolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~ <br /> <br />..w2::::.4~ of Units <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 />BUILDING SIZE: <br />.. <br /> <br />x <br /> <br />~, O'-f--~ <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 />PFRMITS REOUESTED <br /> <br />V;UILDING <br />~LECTRICAL <br />~ECHANICAL <br />~UMBING <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />~Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br />~OO <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 /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTI~ <br />Company -l. STaG: <br />State Cert. or Regist. # <br />City License Registration # <br />..........................~27~~ <br /> <br />F.T.ECTRTCIANd ~ Company. - ~"l. ~L...'k.~. S.~t\.~.h <br />~ ~ State Cert. or Regist. # <..>u",,-,c.&. <br />Sillnatu~ . City License Registration f~ .aof") L.,I / <br />**************************************** <br /> <br /> <br />Q.,o.DS,,-r . <br />Q.e> ~2-?A 3 9 <br />IE 1 <br /> <br />Signatu <br /> <br />PLUMBER <br /> <br />Company ~ . <br />~ 2 M State Cert. or Regist. # <br />C . City License Registration ~~ <br />*********************~******************** <br /> <br /> <br />Signature <br /> <br />MECHANICAl. Company gAHIf ~ /"1i&:>~A.v f- b~S l."R JiV~ <br />~ J ~ f State Cert. or Regis"'t. f~ <<4'c~3''' VB <br />Signature N .~ P -"--- City License Registration ~~ <br />~ ****************************************** <br /> <br />OTHF.R eQ'AVI.D <br />Signature ' ~L ~A~ <br /> <br />Company GAV').) K?OO~( 06 <br />State Cert. or Regist. # <br />City License Registration 4~ .30 <br /> <br />- <br /> <br />APPLICATION <br /> <br />~~******."""'~""""""""""" <br />"ROVED BY ~~ J?1p7~~ PERMIT OFFICER. <br /> <br />--. <br />