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<br />/!fi~ uftf 4~ or <br />- c;'6 f'- /30; f . ~t;:~;- <br />~-4 X iX~S -CJ ;AS Y <br /> <br />OWNER' S NAME~_~ 400 As-p.t-:eH ])fZIVE- PHONE j;t::1.L.(-- 5i~1 <br />JOB ADDRESS <6'3::2 c/#// g/(/rpArI~}~;o/R,d lis. /R- ~~dtf~ <br />/ / <br /> <br />."'~, <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />II ';"0 ;;{ ( 00 /0 os- /jOt) Ot7l s-~ <br />~ON~;~ 0 ADDITION <br />Os I GN <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 /> <br />t1JLQ:tJe ^- -10 ~'--.p: 1J v~ <br /> <br />SQUARE FOOTAGE ~CJ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />~BUILDING <br /> <br />$ <br /> <br />'/0,000 <br /> <br />, <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o 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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />S I GNAT.URE <br /> <br />COMPANY kA~r:::Je1S ~S~T101Jj;-~~ /' <br />STATE CERT OR REGIST # __'eel 7~ _C- .lZ" <br />CITY PROCESSING # ~?~ <br /> <br />BUILDER <br /> <br />***************************************** <br /> <br />ELECTRICIANO~ <br />SIGNATURE''''' ______ <br />- <br /> <br />COMPANY /..,} ',4r ~ L ~ tC E'-,="~:r~J c:.... <br /> <br />STATE CERT OR REGIST # JE..(.. ~~ ( ~\!? \.f7 <br />CITY PROCESSING # ~.-:S <10 <br /> <br />~~ <br />~ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCES3ING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * * ** * * * ** * * * * * * * * * * * * * * * * * * * * * * ** **% * * ** * ~* ~* <br />7 COMPANY 9J1l/EYL ) rL . _Jl"i1-rlW~-). <br /> <br />/, ., /.~ ' STATE CERT OR REGIST # C?t\Cr] -z.-S '-/2-..3 <br /> <br />It ~M11' ^ ) t'\::o (,V,iL<.- CITY PROCESSING # /6 8'tJ <br /> <br /> <br />*******~********************************************************* <br /> <br />v/ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />