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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'?7~ - 7979 ' <br /> <br />DATE RECEIVED B/ J J n <br />PLANS REVIEW FEE S ". ~ <br /> <br />'"', <br /> <br />OWNER'S NAME <br /> <br />5 pPC-. HOn1t: <br /> <br />PHONE 7g 2 ~ 8'70'5' <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) 21 BLOCK SUBDIVISION [ourl 5:1uore <br />PARCEL 10 # /S.2C,-2/- O.;?oo-OOOOC; /:-'7129 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: o;tr:;'~W CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />Os I GN <br />,/ <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK tLi~ ~V~1P <br />BUILDING SIZE 45"'- 4 " X 50 ''''4'' SQUARE FOOTAGE I ~ ~ 4 <br /> <br />HEIGHT r I 0/I)(J ~c'>ils <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (31 SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/ <br />19' BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />84; 105.0-0 <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />fjJ ELECTRICAL <br /> <br />./ <br /> <br />200 <br /> <br />AMP SERVICE <br /> <br />~ORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J-./PLUMBING <br />UlMECHANICAL <br /> <br />$ <br /> <br />2400'0,0 <br />. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~OFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: g~~OCK <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 <br /> <br />~ <br /> <br /> <br />BUILDER . COMPANY <br />P ~ STATE CERT OR REGIST <br />SIGNATUR ~.vLe CITY PROCESSING # <br /> <br />**************** ************************************************* <br /> <br />ELll:C'l'RIC~_ c2-Gk COMPAN~ A-(arl-in Ef..g dr/v, :[,;.C- <br />STATE CERT OR REGIST # e:R. DO /34- 41 <br />SIGNATURE - ~ ' . U CITY PROCESSING # '17 <br /> <br />**********************************************************k******* <br /> <br />PLUMBER ~ <br />SIGNATURE ~~ <br /> <br />-, <br /> <br />, . , <br />[12 JJ~..." s. L. L,L.). 'tl. ~:0 <br />COMPANY --- <br />STATE CERT OR REGIST # {( r- () ~Z.bD <br />CITY PROCESSING # I q <:~ D <br /> <br />! <br /> <br />(N,J2Q~ <br /> <br />MECHANICAL <br /> <br />***********.********** * ** **************** **** ******.....*****.,.r "'t***~*~ /.. >X4' I <br />~ . COMPANY ;~, S,. e.v,;, , <br />. ~ . / STATE CERT OR REGIST # iii '!.' 00 I 't If (, I <br />/r1vzjo/~ CITY PROCESSING # Q..{) ~ <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />