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<br />,.' <br /> <br />,-' <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATI: BECEIVED flg/ L9C? <br /> <br />PLANS REVIEW FEE 5'. ~ <br /> <br />/ <br /> <br />OWNER'S NAME <br /> <br />...5 Fee. Home <br /> <br />PHONE 7&2- ~70S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />IS- <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />/.';' ~. ;.-' ("" . ~)~</... O.2.~ Crt:/ - C;D,c),~'~"\:" <br /> <br />":;1"""' <br /> <br />SUBDIVISION Court S'I'-t(l;'e <br />. "..--. <br />,.,,> (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~~W CONSTRUCTION <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />N Lf,,) Holt'\.( <br /> <br />45/~ 4" )t 50'-4 '. <br /> <br />SQUARE FOOTAGE <br /> <br />l '6'~ '1 <br /> <br />HEIGHT <br /> <br />'t I 8/oJr.. WttlLr <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 />PERMITS REQUESTED <br /> <br />/ <br />IB'BUILDING <br /> <br />$ ~4J 105, 00 <br />200 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />9 ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />II} PLUMBING <br />BMECHANICAL <br /> <br />$ <br /> <br />24-00,0,0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />Q..ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />/' <br /> <br />TYPE OF CONSTRUCTION: ur13LOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNATURE(3$/LQ ~--:. <br />****************************************************************** <br /> <br />ELECTRI <br /> <br /> <br />COMPANy-1:jar+;n ?=.l...ev-h- tv , Le. <br />STATE CERT OR REGIST # f3..,~ OD 134 li'f <br />CITY PROCESSING # q7 <br /> <br />*********************************************************** <br /> <br />'" <br />PLUMBER ('\ ~, <br />SIGNATURE 'l )~-.:.-. ../ vJ$~ <br /> <br />COMPANY DE,IJ,J ~ s. L.. W: ~;-" ~ ~ <br />STATE CERT OR REG I ST # R. - 0:5 Z- 0 <br />CITY PROCESSING # Iq -,2...0 <br /> <br />SIGNATURE <br /> <br />*******************************************~~******************** <br />~. COMPANY ;,,,,;z.'1 <br />). . . STATE CERT OR REGIST # 1(111 "D <br />. . jr'6.~t:j1...9;i CITY PROCESSING # ')-Oc. <br /> <br />***************************************************************** <br /> <br />Ifi{(p/ <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />