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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME '7Y7J~LL~ ~/~ <br />JOB ADDRESS 3 'it'o.;;; I L 4lA/A/V~fl- Loo ~ <br />LEGAL DESCRIPTION: LOT (S) ~ ? BLOCK t~ SUBDIVISION <br />PARCEL ID # /t;/-~?-~/- C>/(,cJ'-" c30OOc::J.-037'CibBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~W CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> <br />PHONE <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />~~BILE HOME <br />DOTHER <br /> <br />o RESTAURANT <br />DESCRIPTION OF WORK S T c./(/~ <br />BUILDING SIZE L>..-{ ~ X 4/) <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />/7?7o~~ //~ e.. <br />SQUARE FOOTAGE ~;:(O () HEIGHT <br /> <br />/Q r <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 /> // tJ{) ac <br />XBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />~ELECTRICAL ISG AMP SERVICE D FLORIDA POWER 0 W.R.E.C. <br />ft PLUMBING goo ~ <br />~ECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o 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 />SIG <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br />/~~ 6....,yeT"L-. <br /> <br />*:*W*WHW*HHHHHH::::::*{;:;:*~2:.) ? /V L <br />/ STATE CERT OR REGIST # E /2 000 <g- S-y~ I~ / <br />~cJ- n .. <br />CITY PROCESSING # / 'I"=;-~ <br />. <br /> <br /> <br />***************************************************************** <br /> <br />PLUMBER <br /> <br />./ /~ ..--~~. <- - /' <br />COMPANY //r Sc....o ,/rtf7r_ n:. L-, V <br />STATE CERT OR REGIS~# <br />A~SC 0 CITY PROCESSING # C),#' // .e:A;)'~ J-J..J.LJ <br />/ / ~-- C-.... .v7';'/L- <br />*'{ ****** * **.********** * ******* ***** *** * ******.Jo******,****-y31****.7'9<** ;'\ ~_ <br />------- COMPANY ~CO?e(' -c ~?L~0 ,L .rv<-- <br />/ STATE CERT OR ~GIST # L/fCd '/3 .9~S-I/ <br />/ /" -c;?'TZ- .' C~ PROCESSING # ~ J '1.5-~ <br />./ G-~. c. r-.'~ <br />**~*************R********************************************* <br /> <br />SI <br /> <br /> <br />SI <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />