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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />"€!E c('! !,s Ii: <br /> <br />( <br /> <br />. r . J.../__~ 010 <br />DATE RIlCJilXVJ:D~' - <br />PLANS R&VZJilK I'JilJil f ' <br />PASCO PER T SERVIC~ <br /> <br />OW~ER' S NAME Jtm <>(.. ~O(l'" 1~_nt1e(' <br />JOB ADDRESS LtJ t- ;2. / :3 ) Am ~ +h j 50 t- ~IJ Of <br /> <br />PHONE <br /> <br />A1~..7AA_~~1.4 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID 1# ;<4-;J."-;;ll-0050-{}(X)OO--,;l/30 <br /> <br />SUBDIVISION [;JrY\e..rc..Ld POI.;' r <br />IOB'rAIN FROM PROPF.RTY T~ NOTIeF.l <br /> <br />WORK PROPSED: 9NEW CONSTRUCTION <br /> <br />o ALJ1JITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY LJWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK tvlot-o. !-tome fbrt <>i- Glass ~t70yYl <br />bIas:'> /2,,,,,- -l Sfcr""'je I :J..."-4V <br />BUILDING SIZE RII Co.'-po,-t- lLo 1C'1:0 SQUARE FOOTAGE 110<0 70kf <br /> <br />HEIGHT5Ce ;plaiA S <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />A'r'l'ACH (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 FUR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />/ <br />IB'" ELECTRICAL <br /> <br />~LUMBING <br /> <br />$ cR3/13<6. trO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUA'l'ION OF MECIIANCIAL INSTALLATION <br />o OTHER <br /> <br />'l'YPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o f'Rl\ME <br /> <br />o STEEL' <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUZLDEI\ COMPANY ,Jer-eh"lj!.5 c9~':'7 a.e~, <br />/ _r?/~ A. STATE CERT OR REGIST " <br />SIGNATURE ':f'("'-0/~ -~ CrfY PROCESSING # <br /> <br />~****** **************************************** <br /> <br />SIGNATURE <br /> <br /> <br />. ~ () - '-'1t(d <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING " 2....7/ ~ <br /> <br /> <br />JilLECTlUCZAN <br /> <br />****************************************************************** <br /> <br />PL_~ <br />SIGNATURE~;t,01 . <br /> <br />COMPANY /p. t:, &/ ( <br />STATE CERT OR REGIST <br />CITY PROCESSING " <br /> <br />D( . <br />I L<.""^-b,i~ <br />".;2. ( I 2- <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING " <br /> <br />******************************************************.**....*.*. <br /> <br />.. <br />.. <br />