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<br />yp1't <br /> <br />yM. vJtl ~ _ 51- \ 'S APPLICATION FOR PERMIT <br />, II 0 _ '-fC:U ) CITY OF ZEPHYRHILLS <br />c;.J.J-:"r 1,. O.JJ.. . BUILDING DEPARTMENT <br />f Z -t (S". r. <br /> <br />;r/3 -p:?) - '-/Y 7 () <br /> <br />DATE' RECEIVED / & - ~~ -9 ~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME frd Kc PR,IJ.IIt1A,.{ /Oil: IJ)G~SLGIj 14:1/&. t:J12P. PHONE 79S"'-s-Soo <br />JOB ADDRESS 5{'.,22. Cdf t(tI~ ?p/:Wl/.e#/I-LS. FL. 33:54/ <br />VACA-TEO RAIJ,.~D 1:> R W <br />LEGAL DESCRIPTION: LOT (S) :2. 'S' BLOCK 5'1 SUBDIVISION;?'EPH'II<HIU 5 <br />PARCEL ID # /1-Zb-;<J-(1fJ}O-OS?06 -O;zSo (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />)'tAiTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />8/A.;t,! ~J-- <br /> <br />f!)fl;~ <br /> <br />5(4,(e <br />SQUARE FOOTAGE / t..O <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />c(" ~ILDING <br />0ELECTRICAL <br /> <br />$ <br /> <br />2 'fo 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/00 <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />/,C-- <br /> <br />I ....-/ <br /> <br />SIGNATURE <br /> <br />* **************************************************************** <br /> <br />COMPANY 10~1J Ulft'//J~ lZ~rA?~c4-L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # .07;t \ / <br /> <br />~CTRIC~ ~ <br />SIGNATURE, . <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />, , .. ~,. <br />* * * * ** * * * * ** * * * * * ** * * * * * ** * * * * * * * ** * * * * * * * * * * '/< * ******* * * * *-* *** * *~:;:. <br />COMPANY . _. ') <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />A'- . "1.'-, <br />STATE~~RTOR RBGIST # <br />CITY PROCe'SSfflG" # <br /> <br />SIGNATURE <br /> <br />, ./ <br /> <br />* *** * * * * * * * * * * * * * * * * ** *..* ^* * * ~ * * * * * * * * * **** * * * * *** *** *** * * ** ***** <br /> <br />, <br /> <br />\. <br /> <br />\- <br />