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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Or;rl( c:- 7'27 -5Z{;"o/8 J <br />Ht-! 727 - 529 -.4-451 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 801?,cft, U c.'i) I4'\-.P Q (\ ^-" ( <br />JOB ADDRESS ~81'-3 /). t4,-.,efr..-t...... CS6JL1.JN2~ 2 ',.1-, Ns r L <br /> <br />PHONE 9/3 - 78~':"8440 <br />"j :s r; 1t!./6 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />Os I GN <br /> <br />~TION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br />~RATION 0 REPAIR 0 INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~ER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK :.tf...JfC:."""Rldt: BU/t.o~- <br /> <br />~ <br /> <br />#-- \. R. 1: t)..J..., I '/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />~UILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />210.000 <br />. <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 AREAO YES 0 NO <br /> <br /> <br />BUILDER (l " <br /> <br />SIGNATURE~.d.., <br />/ <br /> <br />;( 1/ /z&-L-(___ <br /> <br />COMPANY /IIN5'trN ,(JaIUJ/NtJ:. ~~~ <br />STATE CERT OR REGIST # Co c;.CO 'fcrSCs <br />CITY PROCESSING # /92.8 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />***********************~J*************************************** <br /> <br />....j ....co PANY .~ {l~" &/Yl&N6 <br />I //.~ . T-ECERT OR REGIST #<;::CU ;lG 5~r "5 <br />!{!:~I CITY PROCESSING # /3 OIL L ___ <br /> <br />COMPANY &.,,~ etcc:.~c. ~/ec.--s~lJCr <br />STATE CERT OR REGIST # C ~ 0000 / I 7 <br />CITY PROCESSING # /'1 0/<-" t....--- <br /> <br /> <br />SIGNATU <br /> <br />( <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*********************************************** <br /> <br />COMPANY (ZOYAL/tIfZ.E <br /> <br />~ STATE CERT OR REGIST :;2/~ ~I:;~ <br />~~c~ CITY PROCESSING # /"):) L <br />************************************************************ <br /> <br />MECHANICAL <br /> <br />*** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />