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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~" <br />,. \ <br /> <br />( ~ t~! _ <br />DATE RECE';;D i /28/00 <br />f <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ?AT(V~ I h6-'aSGIu "Ic" ~\..JO\J(.J PHONE 73'0 &5"57 <br />f _ <br />JOB ADDRESS .s-O ';J. '-f tStO~ sra ~ "'<. J "2 - ).j III J <br /> <br />LEGAL DESCRIPTION: LOT(S) ~-+s-- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I D ff I?o... ,,<. ~\ 0 I 00 GO 000 <br /> <br />O~O <br /> <br />(OSrAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCT ION <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />o SIGN <br /> <br />D MOVE <br /> <br />D DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />DHULTI-FAMILY <br />D INDUSTRll\L <br /> <br />D# OF UNITS <br />.SW IMMING POOL <br /> <br />D MOBI LE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />?cCJl - D ~c..l~ 3l::..te. -c.'CtV <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 !:'OR ALL NEW CONSTRUCTION.. <br /> <br />PERMITS REQUESTED <br /> <br />0 BUILDING <br />0 El.ECTRICAL <br />0 PLUMBING <br />0 HECHANICAL <br /> <br />$ ~ () 76 J- 06 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SErVICE <br /> <br />D FLORI DA POWER <br /> <br />D W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECfffiNCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOfING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUC'l'lON: D BLOCK <br /> <br />D f'HAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED F'LOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD z,oNE AREAD YES <br /> <br />o NO <br /> <br />r-. <br /> <br />.~qNm~~Ql\.tsp;c,~x. .fJli <br />. .. _, .. _. .. c.,C_,' ,do' '" _.,. ,_, ,. .__' ,__ , ,',_ ., "..,. ". . ...,. .. ','" .. .. .. ..~'. ~,- --, ...... ,.', ..,..,..... -, <br /> <br />BUILDER C' COMPANY ~'(. I O~N f6d~ Le- <br />i L ~ \ STATE CERT OR REGIST # QjJc...CJ J...5 ~-v~ <br />SIGNATURE . C ~ CITY PROCESSING #21 l <br />--- \., 1 € 2.. - 10 ( '1 <br />*.~ ***************k********************************************** <br /> <br />!'l= <br /> <br />ELECTRICI~ ~ <br />SIGNATURE t7/Y1~, ~~ <br /> <br />COMPANY D eN~}.( ---;;; lA/a d -eJ fIe.\.... C?nNl, <br />STATE CERT OR REGIST # r-;t, 3 <br />CITY PROCESSING # 118 <br /> <br />SIGNATURE <br /> <br /> <br />*. *. .****. .**. *** ***** A.*" .A*. A*A' :::::::.Ai~i*=~~**p~ <br /> <br />.. 11 l .r.. ~ I \ STATE CERT OR REGIST # Cf><--ij:l-f> J~ ~ <br />~~ ~ CITY PROCESSING # .;t., t ~ <br /> <br />PLUMBER (- <br />S I GNATU RE \.. <br /> <br />MECHANICAL <br /> <br />· A * * A * *.. +. A * * * A * .. A +. A A A A * +. .A. .. +. * · * * A A * * * * * i-J, * * A * * * * A * i!J..* /. * * * * * * * * * <br />COMPANY- I4.tA. J~,--/ 4/"Y1 <br />STATE CERT OR R~IST # <br />CITY PROCESSING # J b'--i,-/ <br /> <br />************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING # <br /> <br />SIGNATURE __ <br /> <br />***************k*~k*****~**************************************** <br />