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<br />APPLICATION FOR PERMIT ~\.~ <br />CITY OF ZEPHYRHILLS ~ ,,~ <br />BUILDING DEPARTMENT ---"A,;, DATE RECEIVED <br />'v ~ 0\"\ PLANS REVIEW FEE <br /> <br />--, g l- ~ cr<1 t{ 2 <br />, . <br />~ /2'/7) <br /> <br />JOB ADDRESS <br /> <br />.. <br /> <br />BoPJ ~ Q4f20L ~on-\6e:B <br />OAKC-ICtsT vJArV <br /> <br />PHONE (,DS) <fS/-,'lf49 <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # <br /> <br />~~ <br />O;? -:? (p ~;;2/ -O~3o"" Ot>ODO-O~SD <br /> <br />BLOCK <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION a~at-sr SoB. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALT E RAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE :~SGL FAMILY DWELLING <br />o COMMERCIAL <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />Q.oNSTwcnoo l!>j:; 1J8D f2e;.t r;)EOCl; <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 /> <br />~UILDING <br />[B"'ELECTRI CAL <br />~~LUMBING <br />~MECHANICAL <br /> <br />$ <br /> <br />liRO, 3<1'0.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />11.l-R00FING <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 />COMPANY Q,.L. S'n2.v~ Q..00Sn2.uCT10.A.) <br />STATE CERT OR REGIST # c.ec.OCd;...:39 <br />CITY PROCESSING # 30'5 <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />****************************************************************** <br /> <br />ELECTlUCIAN ~ <br />SIGNATURE ~"'\....~ <br /> <br />COMPANY 'Z-GPW'-!e.ul u..5 <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~ <br /> <br />~e(c ~Ee.UIC~ <br />l:) () t:> ;l.. l \", ~- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />cJZr~~~ <br /> <br />COMPANY ~~ ~W{(.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PUJrv-.51 DC <br />~~~~lf~ <br />/ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />****************************************************************** <br />. COMPANY ~~'5 PeDPA('le GA--S $ Ale <br />STATE CERT OR REGIST # CAe" YO.3 '7 Y .:f <br />CITY PROCESSING # I 7 <br /> <br />~***************************************************~******** <br /> <br />COMPANY bM j U e.oot:i~G <br />ST~rE CERT OR ~EGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />.*********.*******************.*..*****.***********~**.********** <br />