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<br />.- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~ (31/? r <br />PLANS REVIEW FEE 56, ~ <br /> <br />OWNER'S NAME KLVftJ ( 4. ,. f-5y lWd 1t1,J/'I'-t... TfJOf1.1dS <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT (S) --1'5 BLOCK SUBDIVISION {"...."'-f S'~~ t"r'f!: <br />PARCEL ID # ;;-- ,2 b - 2/ ,- (/;}c;c -00000 1t:7!" /3 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />PHONE 1 g~.- z Il!.f <br /> <br />Os I GN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <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 />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK -.-N Q"VJ H-O/YIl <br />G"t? '. -'/" X .(7' - 1- iI <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />19:3 2- <br /> <br />("/ I oJ' ) <br />HEIGHT l> Diode {.,.,~U <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />~UILDING <br /> <br />~LECTRICAL <br /> <br />~LUMBING <br />/ 2 1- 00 tl7o!? <br />IiJ" M~CHANICAL $.' <br /> <br />o GAS ~OOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />8"~. Y' 40, e>-t' <br />, <br /> <br />200 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE if FLORIDA POWER 0 <br /> <br />W,R.E,C, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 D(1V,~ CoAY+rocf;'~~ IrJc. , <br />~ J ~ STATE CERT OR REGIST # c. C, C 0 ~ 4- es <br />SIGNATUR t4M1.. \. ~~ CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY NQ r+ I ~ E: Le C-+r'G I ,'L1 C- <br />STATE CERT OR REGIST # Crt.. DD/34'19 <br />CITY PROCESSING # q '7 <br /> <br />********************************************************* <br /> <br />PLUMBER ~ \ <br />SIGNATURECJ~ j~ W~ <br /> <br />~' ~~\ <br />COMPANY Ai JJ ~ <\ '- A-nA "\ <br /> <br />STATE CERT OR REGIST # ~.f 'Z '-0 <br />CITY PROCESSING # Iq '"2. 0 <br /> <br />/JLA <br />, <br /> <br />SIGNATURE <br /> <br />****** *** **.** *** * * ** ************************ *****~** ~********* ** /,' .... <br />~ COMPANY ~t!N~ . c; I., 5 C e- v.. 1 , k..; <br /> <br />\. STATE CERT OR REGIST # I< V'JrI b 0 'f"' V ~ / <br />, . ~<, €.~ \ CITY PROCESSING # .') 0 r <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />