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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />G.l.. STEVE <br />511Y-~ <br />G A.-iL\-( <br />JOB LOCATION (glf--(g&, PL <br />LEGAL DESCRIPTION: LOT(s) ~ _ D <br />PARCEL I.D.#3'~b-;lI- 0030-<::0000- q <br />WORK PROPOSED: ~ew Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />(!oJJS'TiGOC.T' O,J <br />Gt.1\-C>~ lA.J' - 2~1 ~5 <br /> <br />PHONE <br /> <br />-Zgd,-CJlf<tz., <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />LOT SIZE X AREA SQ. FT. <br />SUBDIVISION ~)\u.:> ODD ?' ' <br /> <br />_Sign/Temp. <br /> <br />_Sign <br />~/F <br /> <br />____Move <br /> <br />-De.olish <br /> <br />PROPOSED USE: _Single Family <br /> <br />..4..j~ of Uni ts <br /> <br />.--.J1/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 />X <br /> <br />!iI.) iAB <br /> <br />Square Fee t , <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS... <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br />~LECTRICAL <br />~ECHANICAL <br />~UMBING <br /> <br />$ '1Q,5bD- <br />~ AMP Service <br /> <br />Valuation of Total Construction <br />~lorida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />Y;rame ____Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company C..., . L. oS TE:V e:; QD US, . <br />State Cert. or Regist. # ('--8~ WBd-/3l} <br />stgnature City License Registration 1t 1'51' <br />· *************************E* ***.*u!'**}*.!...t-- f) <br />/1/1 L.. ~ U JP'tQl/-'Yt j)~ <br />ET ECTRTCIAN/ /iozr-#7'" V-</~ Company -\.,l\.u..."L ~L~l'. ~C:::I\.'-I' <br />~ ~~ State Cert. or Regist. 4~ ~oc,;..J...c.c..~ <br />Sillnatu~ ~ ~ ) City License Registration i~ .J.A. Y / <br />**************************************** <br /> <br /> <br />Signature <br /> <br />Company (1 , <br />~ 2 M State Cert. or Regist. # <br />(j . City License Registration <br />*********************~******************** <br /> <br /> <br />PLUMBER <br /> <br />\ <br />MECHANICAL Company gAHIt 'oJ r'..~""..., t.. 6~s t.#ft ..r1V~ <br />')/ J ~ ./ State Cert. or Regis"t. 4~ ('<4(:4:1 1,/39 V8 <br />Signature h :~ P ../\......... City License Registration 4~ <br />~ ****************************************** <br /> <br />DIRER ~ ~ <br />Signature :. . rr...-- <br /> <br />Company ~IP Q..c;cPID {, <br />Stat~ Cert. or Regist. # <br />City License Registration # <~O <br /> <br />APPLICATION <br /> <br />~***.****li1*****~********************* <br />l'lROVED BY _IJ...AlU' ~ _ tJ-r9- _~ <br /> <br />PEIUlIT OFFICER. <br />