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<br />.. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~u\30 \ q '~, <br />PLANS REVIEW FEE 1-5. 00 <br /> <br />OWNER'S NAME C ~arleb p. Ii V'; V I 'aY1 ::r: lIa.r fif PHONE 78:2...02 9.:l! <br />JOB ADDRESS .?Jr 3d-.'; ~GA.e -t-t 5 (l1 t/ I 1Ilt7- <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK ' SUBDIVISIONSteltJ4'/S !It~~/~<:;~1)9.s~ <br />PARCEL ID # 03 cJ..(P,)..1 - Od..OO'" 00000 --&0$'0 IORTAIN FROM PROPE:T~ TA~ N~TTCEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />D DEMOLI SH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />'"' I / ,--, <br />DESCRIPTION OF WORK 5/rvJle ~fo/v 'tIC1rY\e <br />'-- / <br />BUILDING SIZE .J,~)(78 <br /> <br />SQUARE FOOTAGE <br /> <br />;2.5~.3 <br /> <br />HEIGHT /~ ,,- <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH <br />PROPERTY SURVEY <br /> <br /> <br />_. _......_.~ - ~~._,-, <br /> <br />PLANS & (2) SETS OF BUIL~NG PLANS & (1) S~~ ENE~YF~RMS~ <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. -_~___ <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br />~ECTRICAL <br />~LUMBING <br />~CHANICAL <br />V~AS ~'OFING <br /> <br />$ 87 (JOG <br />';<{)O <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />111 <br /> <br />FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />f; 000. <br /> <br />,,~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D SPECIALTY <br /> <br />D OTHER <br />~RAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES pfNO <br /> <br /> <br />BUILDER ~ ~ COMPANytJlLIP .4n?eS'~c--. <br />// / STATE CERT OR REGIST # c.... 0:< 7t)~3 <br />SIGNATURE '~.4 ?fA ~ CITY PROCESSING # rry.~\\ <br /> <br />~~ - ~*~*:*~~J*1:*~?l~)*~f:~************************************* <br /> <br />ELECTRICIAN ) <br />SIGNATURE #~~ ~ ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # p/? F't7O'hd~.::.? <br />CITY PROCESSING # / t!J6 / <br />V <br /> <br />Fe~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY llarr/> Serv/~~ L/hLT/) <br />STATE CERT OR REGIST # R F 00 (',fAc, 5'3 <br />CITY PROCESSING # 8 !? t;. / <br />v <br /> <br />MECHANICAL <br /> <br />*******************************************~****+**~************ ~ <br />COMPANY I'llt.e.~ ..ee;/ /1'1/ t- 6,f..5 ~ c.. <br />t7)/ . /;? / STATE CERT OR REGI ST # C,4 Co t.j ? 9' 'Y 8 <br />A---. 0 --- CITY PROCESSING # I 7 (J.). U<;;; 1- <br />, <br /> <br /> <br />SIGNATURE <br /> <br />**** *********************************************************** <br /> <br />OTHER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br />