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<br />APPLICATION FOR PERMIT <br />CITY or ZEPHYRHILLS <br />BUILDING DEPART.MENT <br /> <br />DATE lUI:CEIVED 3 - it - 06 <br />PLANS REVIEW I'D: <br /> <br />OWNER'S NAME tA...J I ~(AIIA (3ooTl-l <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LOT I S~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 3/f- tS -1-1- (JOt 0- 0 1100 -0 ( 5~ <br /> <br />SUBDIVISION (;/lA-f./tJ I-fOIl-( t{)# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~LE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK m O~'LE 1-I1)/lII/~ <br />BUILDING SIZE 21)(5/ <br /> <br />SEt' <br /> <br />uP, <br /> <br />SQUARE FOOTAGE <br /> <br />Ilfzt <br /> <br />HEIGHT <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 />~LDING <br />~ECTRICAL <br />~UMBING <br />~CHANICAL <br /> <br />,.... ..;1- <br />lO,l\.;J · <br /> <br />PE <br /> <br /> <br />$ <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~LORIDA POWER 0 <br /> <br />15'0 <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />W. /':~~~<~-~) <br />INSTALLA'I;(~t ~ 1004 <br />/; Q?- / <br />1 IJ,pU;/ <br />f/ ~/ <br />Y;S (!t11O <br /> <br /> <br />$ <br /> <br />500.00 <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br /> <br />SIGNATURE <br /> <br />~ 4. ~ <br />/ <br /> <br />COMPANY t17 A-(2-5>I-t/U..(, h'/}//,((..,~ !-I()nIIZ /NsrAi4~f <br />STATE CERT OR REGIST #:rH tXXJ0307 <br />CITY PROCESSING # c1.o7fJ r/ <br /> <br />BUILDER <br /> <br />* * * * * * * * * * * * * *'* * * * * * * * * * * * * * * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />ELECTRICIAN ~ <br />SIGNATURE ! 'IJ ( M.1I.J <br /> <br />COMPANY AuF I~nuc: <br />. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ) t; '7 /'" <br />/ (,., <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~<A< ()Ap <br /> <br />COMPANY hIlJ/Ul~ .mDIJ,uE I/w"tf /1./5111UU; <br /> <br />STATE CERT OR REGIST # .I V- 0000 30'7 <br />CITY PROCESSING # ~~ <br /> <br />SIGNATURE <br /> <br />* * * * * * * ** * *.* * * * * * ** * * * * * * * * ** ** ** * ** ** ** *** *.:h* *;.:t * ** *** *** ** * ** *** * <br /> <br />MBCHANICAL COMPANY l::K:!:::. pIll- Cc')~/l. <br /> <br /> <br />SIGNATURE ~. 1/-. aPd2 <br /> <br />***************************************************************** <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1~"""'--- <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />, . <br />***************************************************************** <br />