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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />.'1l'h'C';fr/Oll,) f7; /1/0 C~ S/,~..s,c;D BUILDING DEPARTMENT <br />'1' r l'f;'t:1hf ~Y'lO ~,-fL{.; <br />-ro (P&>o{) G~ (JVR'U 5(,,~.!, OIJ~<t J <br /> <br />{... OWNER'S NAME C'-/~C~S a:/~~0 <br /> <br />DATE RECEIVED ;.-5<.'.3 -/) ( ) <br />PLANS REVIEW FEE <br /> <br />PHONE //5 007'3 <br /> <br />f.... JOB ADDRESS & 'lb/J <br /> <br />C4- t-I.... <br /> <br />/5 L 1/1":> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />o MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.f- DESCRIPTION OF WORK ::;Tdff'1U-.rf7To/c/ or:' !;I"A.J~ ~ OLP 6?<-/ t-/'?/.v 6 <br /> <br />t ~lv.r G -'fu.. l <br />8,-1/'1:> / <br /> <br />-I- <br /> <br />BUILDING SIZE rh~.: 63/ <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. ~INr) ~LO ~~/4.?/,A./{" <br />~,vI77IC~ '=' S/'" <br /> <br />&.'h) /v'EUJ 6U.'L.-:?/A/6 <br />~.v~~..; ~3'" <br /> <br />~UILDING <br /> <br />$ <br /> <br />gtJt)--/OOO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE [J <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />FLORI DA POWER [J W. R. E. C . ' -I:: ~J?) <br />"J., IJ! ! 1;' <D...zM1Lt.. <br />.' ~ ~ () k i1 J-~::-!j::..9J2-._.. <br />1 ____ <br />MECHANCIAL INSTALJ.A!l'it>N- <br />,...,r <br /> <br />is. <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />'--..-.....- <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J <br /> <br />J/ s~~~~'<-H 4 COMPANY 0 <""r5 51 . <br />6V' STATE CERT OR REGI ST # <br />SIGNATURE __ __ CITY PROCESSING.~)7D ~ <br />' '/l~.( & ~, rflO' .- <br />************************************************* w************* ';;., .~ <br />,,~ Sf "'N 4>~""",- ( t7 (". / () <br />) ELECTRI~:i'AN ~ COMPANY f'--o 5 Q..,r <; ) I J h Co..,.-c? <br />1.1. STATE CERT OR REGIST # <br />q SIGNATUR CITY PROCESSING # :1<.70 <br /> <br /> <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />