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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEZVED 7',j/f9 <br />PLANS REVIEW FEE <br /> <br />f <br />OWNER'S NAME 011 M 17(;. P R u Tr} Nc-e I E <br />JOB ADDRESS c'54V3 /'1/7 L ffC//? ~ J?~. <br />LEGAL DESCRIPTION: LOT(S) ~') BLOCK <br /> <br />PHONE <br /> <br />;;;.. meR 17.1-.0 <br /> <br />~tJ j jL/,r <br /> <br />PARCEL ID # 2."7-2 b - 2./ -002.0 - 0 C'b 00 -LD/71 (OBTATN FROM PROPERTY TAX NOTTCF.l <br /> <br /> <br />WORK PROPSED: ONEW CONSTRUCTION ~DITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />SUBDIVISION <br /> <br />Os I GN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-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 /> <br />Fx Jb <br /> <br />Cc,m E:V-:7 <br /> <br />IS x '3h <br />'-~1J <br />SQUARE FOOTAGE ,6 <br /> <br />s '7 p.. v c::...- 7/:7-- ~L ,p. e>ept4 <br />€J/ <br />HEIGHT 0 <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 />o BUILDING <br /> <br />$ ~3) E3 <br /> <br />PERMITS REQUESTED <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 />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLA'I'ION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />G~~ <br /> <br />-, -- <br />COMPANY Jl \.J.5 C C) "'V..s ../ <br />STATE CERT OR REGIST # C A. c... D 3'3 4- c / <br />CITY PROCESSING ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTlUCIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANy <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />