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<br />. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~ - /0 - ?;'D <br />PLANSREVIEW~-/J.7egL <br /> <br />OWNER'S NAME ~,~, B\)~0s-'-H::. ~~&'=;~ <br /> <br />JOB ADDRESS !5 '7 !J /5 P;e.I<ETlrJ fJ1/~L Il t/c .' ~ <br />N\)I~ ~~;>\ g F"T of k\), IS.B <br />LEGAL DESCRIPTION: LOT (S)N:,\ \5" Ii A BLOCK SUBDIVISION<3IL\,Ye.~C) ~~ VILLA~ <br />PARCEL ID # '3 ala ~ 1 Q)~ \) \:) ()~t\~~ (S) \ S" P\ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK t0t.-W ;:'~~tv\E R.E.-'5 i~'E.~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~d-7r <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br /> <br />$ '\ ~ )~~~ . "b't) <br />a~~ <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />iI~ NoL <br />~ <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER 0 <br /> <br />o PLUMBING <br />~CHANICAL <br /> <br />$ L\.t\)~ ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLAT <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />~E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />~ <br />BUILDER <br />SIGNATUR~C--~ <br /> <br />COMPANY V\ ~ \=-~ I\) 0 ~ \:=... ~ L-.L,~ <br />STATE CERT OR REGIST # ~ <br />CITY PROCESSING # 02 ~ <br />............. <br /> <br />../~ <br /> <br />~***************************************************************** <br /> <br /> <br />COMPANY~ 1\~\)~ tH-~c:::..\ ~\. e..- <br />STATE CERT OR REGIST # E.lGo 013 t.( 47' <br />CITY PROCESSING # q 7 l.."""-- <br /> <br />******************************************************* <br /> <br />SIGNATUP.E <br /> <br />\ ~~, ~~/?b- <br /> <br />D~N~'~ \C lL\.., ~tv\.~ <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J?,t;2 D \...-" <br /> <br />PLlJMBBR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />~.' ' COMPANy~)0<:::"'~\~ <br /> <br />'_______ STATE CERT OR REGIST # <br />-- ~ CITY PROCESSING # 0(5'""07 ~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />