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<br />APPLICATION I'O~ PERMIT <br />CITY 01' ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE UCBIVED' /111/00 <br />PLANS REVIEW I'EE <br /> <br />OWNER'S NAME 0lA-lvl) <br />JOB ADDRESS 37[o3D <br /> <br />/-1011.-1 ? {) N <br />IV fJKulV\ <br /> <br />Nl~;-I, f. <br />LJ . Ie <br />rrV'_ <br /> <br />PHONE <br /> <br />t <br /> <br />I- err <br /> <br />1'7 <br /> <br />SUBDIVISION &,t/fI..() fliJ/l,( 2a,J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # "]tf...28 - 2-/- 0010 - () ( 30D - 0 1'70 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />~ER <br />,.,qc.....V/YlIIV..' .Nt <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />l/ - (100M. I <br />SQUARE FOOTAGE '7 {pg <br /> <br />HEIGHT <br /> <br />!I <br /> <br />DESCRI PTION OF WORK (;#LiCIl f; $(11.61;,,,, 1~()OIlA i <br />, , <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br /> <br />PERMITS REQUESTED <br /> <br />$---11 J 000,00 <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 />D STEEL <br /> <br />[!] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDl!:R <br />SIGNATURE t4^j 7~..o.& <br /> <br />COMPANYW (aJ<;r/l,v(.rldI'\J b~ ~ F<-. <br />STATE CERT OR REGIST # t!1c.o ~~ <br />CITY PROCESSING # ~ <br /> <br />*************.*************************.************************** <br /> <br />ELECTlUCI~1 " ~ ( \ (' \ <br />SIGNATURE J IU(~ ~e, ~ k~~t(l C .J')'V\ <br />',./ <br /> <br />COMPANY flCE G'tECrtUc. <br />STATE CERT OR REGIST # E~o( <br />CITY PROCESSING # \~~ <br /> <br />****************************************************************** <br /> <br />" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * ** * *,* * * * * *** ** * ** * ** ** * * * * * **** * *** * * *** * * ** **** ** * * * * ** *** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************1.*********** <br />