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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR , J <br /> <br />(p-\\ ~ ' hr <br />OWNER'S NAME ~/~I N1>d ~N Ie .5 . PHONE. 7J'.1.- 9 cr I ~ <br />JOB ADDRESS -5-33r- ~ 5"'( 2epJ,r-i t ffr. R/ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br /> <br />7~;5- (~~9 . <br />TE RECEIVED II P1 /9' <br /> <br />LANS REVIEW FEE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # _\ l - 2,(0 ~L( - do 10 - (7 S-06 -CJ'() 6 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />IE INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~GL 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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 11-,00 SM:k..<Je.R.1O ()ATH J- 4\00 2l.J'A-tl5 l.!). J/J-eI<. cAi:.fb;q--- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />o BUILDING <br /> <br />$ <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 MECHANI CAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br /> <br />COMPANySO;)7'!fej?AJ (1 U1 L(J-eR-s <br />STATE CERT OR REGIST # R~ t'Ja 6'..c:..&:.?i ~ <br />CITY PROCESSING # 6~ <br /> <br />******************************************************** <br /> <br />ELECTRICIAN <br /> <br />\G-n'Vl4L~ ~. <br /> <br />SIGNATURE <br /> <br />Ri <br /> <br />COMPANY \=€:.E:. 'bLE C-lll..\ Lc <br />STATE CERT OR REGIST # Ee.. OOO'-t\c:.4 D <br />CITY PROCESSING # ,~ <br /> <br />PLUMBER /~~ // COMPANY <br />(~ATU~;V~~ ~~*~E P;~~~S~~N~;'S::tt/.z: <br /> <br /> <br />" * ** **** ** **.***** ******* * ***** * * ** *** ** **** ** * ********** ******* ** * * <br /> <br /> <br />MECHANICAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />'....,~ ::"W'."~'" <br />