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<br />~.,~ <br />~JON FOR PERMIT <br />CITY O~ ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED' 216119 <br />PLANS REVIEW FEE <br /> <br />!JVYMfrt( <br />'3 9 /:; (0 <br /> <br />4oe,ep <br />--r7<.L LGl S /fz/ ~ <br /> <br />PHONE <br /> <br />1 5'6 ! 3 /3 <br /> <br />OWNER'S NANE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION ffL-PrIIl t/;L.<:""/fClL- <br /> <br />BLOCK <br /> <br />P.l\.RCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <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: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~S'~ <br /> <br />I~ r:G <br /> <br />BUILDING SIZE <br /> <br />( J- Y CJ <br /> <br />SQUARE FOOTAGE <br /> <br />teu-~ S'~ <br />7:;L <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PlANS & (2) SETS OF BUILDING PlANS & (I) 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 /> <0;.1;;2 It( ,dV <br />0 BUILDING $ VALUATION 01" TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E,C. <br />0 PLUMBING <br />0 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />0 G.l\.S o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF COf.J'STRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED I"LOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />I <br /> <br />L_________ <br /> <br />Cqf{~CTQ. <br /> <br />.- Ed,TI()~ <br /> <br />SIGNATURE <br /> <br />4"~ ~~ <br /> <br />$' u /(f S 77'T17: <br />STATE CERT OR REGIST # <br />CITY PROO~SSING # <br /> <br />70~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />lfL-u I1/N u If N <br /> <br />SIGNATURE <br /> <br />***":;.*\CI)"L:;'~"";~'~;~"""""""""""""'"". <br /> <br /> <br />, - f(-<~ '. (j --;:/S" () COMPANY <br />Ne.ec1 S J.r;-k e-e ~ . ~$ STATE CERT OR REGIST # <br />N~)o. ~ - CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />**A'***********~********************k****~*******~***************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S I GNl\TURE <br /> <br />MECHANICAL <br /> <br />****~**********************~******.******************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********~***k******************~.********************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />,SIGNATURE <br /> <br />**************************************~************************** <br /> <br />-~-' <br /> <br />.",. ",. <br />