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<br />APPLICATION FOR PERMIT <br />CITY OF ZBPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(jJflI f/-:J15'~ <br />9 .../0 -,9~ <br /> <br />APPLICANT ~.L. ST{;;J~ a.o~ST'U(TI 0':; <br />.37~5 18TH- Prv <br /> <br />" <br /> <br />OWNER boU("') ~ KAf-E)..) /<JJOWLTO,U <br />JOB LOCATION~3P ()kc(l.~-r u..JA..AI LOT SIZE X AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S) ~~ BLOC~ SUBDIVISION~~~~ ~~1r~ <br />PARCEL I.D.~~ 2 - ,2{,-021-0,;1 ~D"- 0/7006 -O~ <br /> <br />PHONE <br /> <br />It:2 - tJ C/.<f '2- <br /> <br />ADDRESS <br /> <br /> WORK PROPOSED:~New Construction -Addition -Alteration -Repair _Install <br /> _Sign/TeDlp. _Sign _Hove -1)eaolish <br /> PROPOSED USE: ~SinSle Family ----H/F _~~ of Units .-J/B <br />. <br />, <br /> _Co_ercial _Indust. _Swim. Pool Other <br /> .' <br /> <br />----Restaurant & Health Departaent Approval <br /> <br />BqILDING SIZE: <br /> <br />X <br /> <br />-2-. 600 <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS... <br />COHKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />.*COPY OF CONTRACT REQUIRED. <br /> <br />PFRMITS RF.OUESTED <br /> <br />LBUILDING <br />-i:..ELECTRICAL <br />bicHANICAL <br />~PLUMBING <br /> <br />$ qs-,ooo.oD <br />d-O-o AMP Service <br /> <br />Valuation of Total Construction <br />~ Florida Power Corp. <br /> <br />_W.R.E.C. <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 />Signature <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION n_ . <br />Company G. L. ~"""eI~ c..v.us-rlZve-n oJ,) <br />State Cert. or Regist. 4~ c-~-W~{ 3'1 <br />City License Registration # ~~ <br />****************************************** <br /> <br />FT F.CTRICIAN R lC+lAfZb Dvr-::-~ l::-\....D Company 'Z.-\..lu..~, ~Lac..~. ~c2n..,",. <br />r~~ ~~ State Cert. or Regist. * ..,u..:>...,.~ <br />Sillnatu City License Registration t~ ql.:, <br />**************************************** <br /> <br />PUJMRER ~i5 BM.K.. Company a . <br />~ .J1 M State Cert. or Regist. * <br />Signature C . City License Registration f~ <br />*********************~******************** <br /> <br /> <br />MECHANICAL \(e4tO BA-~(L Company gAH,( ~ /"'~A""(. t5~s (A'fl jA.l~ <br />"J/ .L ~ ~ State Cert. or Regist. ~J ("04(D".7'9 VI <br />Signature N - P, City License Registration .t ,., <br />~ ****************************************** <br /> <br />OTHER e.l(!.~ aM I!) Company GfJrJ 1}..J 2on~( t.J G <br />~ __ ~ Stata Cert. or Regist. U <br />Signature~""-- .--J:> ~~ -,---- City License Registration # J) (0 <br /> <br />****************************************** <br /> <br />APPLICATION ~~OVED BY <br /> <br />PERMIT OFFICER. <br />