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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />6 ~/?~:JY <br />DATE RECEIVED <br />PLANS REVIEW FEE / t5Z> I cfi!J <br /> <br />OWNER'S NAME n. aMM VI/J-:f ~P{.I tJ;. PHONE ~7(5~ g{/ e<? <br />JOB ADDRESS -3&oILJ /J1~tf41 {l/~ ~. I 2~;Odj/f1J; Ils / !~( <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK SUBDIVISION <br />PARCEL ID # Sc.5\;ZS-;2/- 00 lc? -00 (){!J<:9 - tYO/C? (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />~ALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />>"COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/IV ~.e'Rcn <br />90X/i'2.,S <br /> <br />CJPIj <br /> <br />!727c( <br /> <br />HEIGHT <br /> <br />[7.6 }-T' <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />;j,A~; () () C). <br />~&O <br /> <br />PERMITS REQUESTED <br /> <br />)if BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />~ MECHANICAL <br /> <br />06 <br />......-- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />.~ FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY (?4IvAer ~kle/c- <br />STATE CERT OR R{GIST # Cc. ~ooo3j'~"J. <br />CITY PROCESSING # Z 3'1 b <br /> <br />******************************************************************/W "~/~J Pt~ <br />. ." I f(1l~ c;..( ~f-'C!.' <br />PLUMBER ~/! ~ i~1I/l ~ COMPANY -Ph. I (Icf -MU.~<$S) c.~di?;}2 AD? <br />_~_ ~ ';TATE CERT OR REGIST #i~ ~<", ~~ <br />SIGNATUR L - ---=---CITY PROCESSING # ~ ~ IJF1=P ~ <br /> <br />****************************************************************** G)~ <br />MECHANICAL. COMPANY .s~E8c/ <br /> <br />SIGNATURE a !vw,,; i~Uu-t/t; ~i~~E P~~~iS~~N~E:ISTJ3 7'- ;> <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />M\~JP.~ <br /> <br />v'" <br /> <br />v <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />