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<br />~~/6o.~u <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />\u\~o\q~ <br />DATE RECEIVED -__ <br />PLANS REVIEW FEE S-c;.oO <br /> <br />OWNER' S NAM~\)~ Nt ,1'1::.. F ~ M.' \.- 'I 1 ~~ > l' <br />JOB ADDRESS SCJ d 4 a.~\'t4 ~, , <br /> <br />PHONE "1 'b ~ - ~ '\ ~ ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK <br />PARCEL ID # \~~~ ~\ Q\c)~ C)~~~\? a(}~a> <br /> <br />SUBDIVISIONSUMM.BU-\ lvL 50 B <br /> <br />10BTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br /> <br />D SIGN <br /> <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br /> <br /> <br />D COMMERCIAL <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />DMOVE <br /> <br />D DEMOLI SH <br /> <br />DMULT I - FAMI L Y <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK tv E. u) <br />BUILDING SIZE Ltl.o'X '5"'~ <br /> <br />D 1.O c '- L. ~ t-.J Gr- <br />l~~" n) N '\ <br />SQUARE FOOTAGE lio(" r.. All:... ~,'.' "HEIGHT 1S <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF ;&a7i.;G'E:J&~~&' (~) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />PERMITS REQUESTED <br /> <br />~LDING <br /> <br />$ ~<:;:) J ~~.C!> <br />~(::)~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ECTRICAL <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />[J....rl;UMB I N G <br />Ii:J...ME'CHAN I CAL <br /> <br />$ cl'-\:~~ ' <br /> <br />VALUATION OF MECHANCIAL InSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />BUILDER <br />SIGNATURE J \(>-~ <br /> <br />U~j\k- <br /> <br />COMPANYV l~\:::. 1 BU~N~\,e ....h)~'=::.o\...\..S <br />STATE CERT OR REGIST # C 1C..,c..... O~H...L.. ~ \a <br />CITY PROCESSING # ~S 00--. ,,/ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE .uh~d 7'~) iiC.L <br /> <br />COMPANY ~ e ~ L./ ~ c:/;e, 2-- <br />STATE CERT OR REGIST # / r'J 6 ./ <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER ~ <br /> <br />SIGNATUR~ /A/~ <br /> <br />COMPANY.hE;~~\ ~ \D 1 \..i \~.} Pl. ~C~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # _I q ~~ / <br /> <br />****************************************************************** <br />MECHANICAL' COMPANY \...) \:) ~ J~\ ~ H6~~ \NC:. J"I...,:)1) ~,c:.., '\ <br />._~'\ / STATE CERT OR REGIST #~ ~~~\o$:" <br />SIGNAT~-, V -") ~A-- CITY PROCESSING # ~ D <br /> <br />*********** ***************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />