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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /I.J -;is -/'. r <br />PLANS REVIEW FEE '!J. OD <br /> <br />PARCEL ID # <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />~a-~ <br /> <br />, <br /> <br />OWNER'S NAME c8."'-'2-~ h.. ~ 1 ~ S'd1L ~ ~l~ 0 W~ PHONE <br />rt<:'l_ Ie' ,~ '\ ~.~~ <br />JOB ADDRESS ~45' J ~ A..L~ tC)j <br /> <br />)q <br /> <br />-o~?>C) - ocOOD'~C J1D <br /> <br />1 ~ 0 -00 3 7 <br /> <br /> <br />BLOCK <br /> <br /> <br />s <br /> <br />WORK PROPSED: CJNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br />s< l' ~s <br /> <br />SQUARE FOOTAGE ;:~ 0 0 <), (!. <br /> <br />HEIGHT <br /> <br />))( I <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />0 BUILDING $ '1.:s 000 ro VALUATION OF TOTAL CONSTRUCTION <br />) <br />0 ELECTRICAL ?-~() AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />0 PLUMBING <br /> ~r1) <br />o MECHANICAL $ '~$b(j VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o(ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />/ /." <br />FINISHED FLOOR ELEVATIONS _~ <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />[Q-'1fo <br /> <br />~ ~ <br />::::: .. .;jf-;f; . · R fsr'.' <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ,1'1 <br /> <br />,,........, <br /> <br /> <br />~/ ****************************************************************** <br /> <br /> <br />COMPANY M.q filM E-Le. dr-, ~ ,.Jj-,c <br />STATE CERT OR REGI ST # E-I? {JO /3'1<1 '1 <br />CITY PROCESSING # CJ 7 ,-/ : <br /> <br />********************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANy?-U~N.S V I UvY\ 10,::] <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # _15 4 <t <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />~ ~ ******~~~;;;~****9~*~:::***(t~~ <br /> <br />~.- ~ ~A~__ STATE CERT OR REGIST # <br />~~~~~ CITY PROCESSING # ~~ <br /> <br />It/- <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br /> <br />***************************************************************** <br /> <br />\_/ <br /> <br />***************************************************************** <br /> <br />COMPANY ~ blutt+ ~ ~~ <br />STATE CERT OR REGIST # r!...-f:> dO ~ I ~D <br />CITY PROCESSING # (I /1 t/ <br />