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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'t/r - b 7 J _/Z / '7 <br />DATE RECEIVED '1 II;!? <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 6ryo,'\ f f1]fJn'?Ue Fr;/1k <br />JOB ADDRESS j).5I,Vj'Ve. Dr: <br />LEGAL DESCRIPTION: LOT(S)~ BLOCK <br />PARCEL ID # 0 3 ,,:<C::,..~j .o,;},oo -OOQ!')o- o~o <br /> <br />PHONE <br /> <br />SUBDIVISIONS,'/IIUlkh lI,'Ikje <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DtSGL 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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ cS'4,."" ~MNI~D/) . ~/; ,~., t1. *~ UJrc,l/ <br />/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />J~ / <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 />~ BUILDING <br /> <br />$ <br /> <br />~..!i ODD <br />0).00 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />III ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />11 <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />1Q PLUMBING <br />~MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />IKJ GAS <br /> <br />!;SROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />b! FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ){NO <br /> <br /> <br />BUILDER ~ ~ iI!i <br />SIGNATURE /I/j/A/J~ <br /> <br />COMPANY tv ILL F 1IoAe..5 ~ <br />STATE CERT OR REGIST #, 'c-o :1...70 "1-3 <br />CITY PROCESSING #~II <br /> <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~l\ S~' ~ <br /> <br />COMPANY F8c ELE C~~ <br />STATE CERT OR REGIST # :6<-000 4<""LtO <br />CITY PROCESSING # lCJl~ <br /> <br />PLUHBEB ~ <br />S I GNATUR . -.._ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY >~//' Ai .JfNJI?ijJ. <br />STATE CERT OR REGIST # _ ~ <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * -1;10- * * * * *.* * *')1; * * ** * ** * ** * ~ <br />MECHANICAL COMPANY ~ J:JH /t:.5 ~;9 '" -v Z G o4..s e- /11 G <br /> <br />~ ./ STATE CERT OR REGIST # _ ~4 C.d V3 7 V 8 <br />SIGNATURE ./ __ CITY PROCESSING # J 7 <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * *, * * * * * * * * <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />