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<br />APPLICATION FOR PEmfIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~-b 7-1 91 i <br /> <br />DATE RECEIVED 8'- /0 -] Y <br />PLANS REVIEW FEE ~ tJ-o <br /> <br />OWNER'S NAME 7)A.VI~ <br />JOB ADDRESS 4,., S ~ <br /> <br />COtJTt2.Ac.:n ~/Cs <br />'-Z~-Jj <br />16 B3 <br /> <br />{~~. PHONE <br />7-E PNY/~ 1-1 ( u- c..., <br /> <br />352--:sCo 1 -( CfCf c.f <br />FL- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~UBDrvrsrON ~LL:: -~~:T::~ <br />bBTAIN FROM PROPE T E <br /> <br />PARCEL 10 # IS 2<.0 2-1 o2.1XJ 000 oa <br /> <br />WORK PROPSED: OONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: DCSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />AI p-lU tI ()lLc.F <br />3oX50' <br /> <br />SQUARE FOOTAGE <br /> <br />/3101. "3 <br /> <br />HEIGHT <br /> <br />s' <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />~ BUILDING <br />00 ELECTRICAL <br />121 PLUMBING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />I)l 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: ~ 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 0 NO <br /> <br /> <br />...-- ----.....,.--.-..... <br />...... .-----...............-....--,-... <br />. .. i.. <br /> <br />. .............._-.--. <br />.-.................-...--...... <br />. , <br /> <br />BUILDER COMPANY DA.VI ~ r -Ot-.fnZ-A-c.::r,'t<..fe-.. I MG. <br />~ ~ - ~ STATE CERT OR REGrST # C.~O~(P4~ <br />SIGNATU I/t(l~ Y)/~ . ~5. CITY PROCESSING # ~ 2. <br /> <br />**************************************************************** <br /> <br />(]D <br /> <br /> <br />V' <br /> <br />COMPANY c::'au: f6u.lt~Q i t;LeCfi<.J l:A~aevlacS <br />STATE CERT OR REGIST # . E.f(CJ::)()95'9~ <br />CITY PROCESSING # -J- CJ t / <br /> <br />ELEC <br /> <br />SIGNATURE <br /> <br />PLUMBFA ~ <br /> <br />SIGNATURE... <br /> <br />********** ******************************************************* <br /> <br /> <br /> <br />/filL- <br /> <br />COMPANY C'Y/-IIl1CO RA..(m~lJ..r~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~ ~ \ ~ <br /> <br />/ <br /> <br />****************************************************************** <br /> <br />!1. COMPANY ,-<::Jnt-I/l1y's <br />() STATE CERT OR REGI ST # f( tn 6J it l( fo I <br />-~ ~q~:?> CITY PROCESSING # ~G (p <br /> <br />t/' <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br /> <br />COMPANY Pit. 1I1,.S (1---aAljl?-;tc-rJ: /G, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*********************************************** <br />