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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />)7 -...s~ ...: 7' -b" <br />7RF/tYD- on <br /> <br />G. L. STelE. C!CVS7/C..-cJCr/O~ <br />..377CJ.1o C;LM~ LJ.J. <br />4-AJAJ~ ~ OlVe,u 64U- <br />~~I d~nuoon ~ LOT SIZE <br />LEGAL DESCRIPTION: LOT(S) ~ BLOC~ <br />PARCEL 1. D. ~~ ...:! - ~- ..:1/ - /~ - D - D 9 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />(/13) ?R;;)-9</v;}- <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION ~/LVE'1C- t)4.t::S <br /> <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ----Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____S ign <br />~/F <br /> <br />-Hove <br /> <br />---1>eIIOI ish <br /> <br />_~~ of Units <br /> <br />.--K/8 <br /> <br />____Co-ercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />----Restaurant , Health Depar~ent Approval <br /> <br />BlJ,lLDING SIZE: if) 7 X 7 I , <br /> <br />,,.{!; / 7 <br /> <br />Square Feet, <br /> <br />1'1 <br />J7/~ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHttERCIAL : <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 />--!:::::BUILDING <br /> <br />$ I~~ CJ7rD .- <br />~()1) <br />$ 3X'oo,fYO <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />~orida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />VELECTRI CAL <br />V'MECHANICAL <br />VPLUMBING <br /> <br />Valuation of Mechanical Installat.ion <br /> <br />GAS ROOFING <br />TYPE OF CONSTRUCTION: ____Block ~ame _Steel <br />FINISHED FLOOR ELEVATIONS:9K. 0 FT. <br /> <br />SPECIALTY <br /> <br />Other <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION n_ <br />Company G. L- ~"""e-I(;" c,v.us-rlZoc"n 0)) <br />State Cert. or Regist. 4~ C'.A3 -e.o~{ 39 <br />City License Registration # Erl~ <br />****************************************** <br /> <br />Signature <br /> <br />pI ECTRICIAN R \C~AfZD Duc~ ~\....D Company Z-\-lu......, ~Lac..~. s.~n....,. <br />~ ~sCi:l Stat. Cert, or Regist. 0 ..,,,..."', "81 <br />Siflnatu City License Registration It ~~ <br />**************************************** <br /> <br />PUlIJgF.Il ~i 5 BMJ<<:. Company (JIIf,'s r3Af!..1ff:/1f..v~ <br />~ -2 M State Cert, or Regist. 0 fY._ <br />Signature C '. City License Registration # llo ~ <br />************.**.*****~***.**************** <br /> <br />MECHANICAL KeJtO '?>A-t.J.1C... Company gAr/it ~ /M>~A4oIt.. 6'",.5 t.~fl jA.;~ <br />"'J,/ .L..ff J State Cert. or Regist. ~t ('''''D''..79 VI <br />Signature h . ~;, -"-- City License Registration ft , ~ <br />~ ****************************************** <br /> <br />OTHER elC.~ GM I J,.) <br />Signature Q .--J> ~ <br /> <br />Company G PrJ I J..J 2.o-ot:="110 G <br />Stat~ Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION <br /> <br />l'llWVED BY <br /> <br />PERMIT OFFICER. <br />