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<br />" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />--- t?-O-O <br />DATE RECEIVED.5 'L <br />PLANS REVIEW I'D ~. tJ - L2 . " <br />, <br /> <br />OWNER'S NAME ~'r\\ M~c\~~ <br />JOB ADDRESS 641.1 <br />LEGAL DESCRIPTION: LOT(S) ~ <br /> <br />PHONE <6\ ~ <;'b 1 <br />/16f1t./IJ..t.E "J)P. <br />. <br /> <br />~bOq <br /> <br />SUBDIVISION -Si \~, <br /> <br />C>o.les Ul} let ~ . <br />\ <br /> <br />BLOCK <br /> <br />PARCEL ID # {;} 3-;Lt...~e21-0~oo -c;OOOO-O;;>S-D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br />PROPOSED USE: 21SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POO:L <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br />t0eUJ G'("\S~~\~,^ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />~ ~ \~ ~""", \q <br />\ , <br />SQUARE FOOTAGE r" Cc,f) <br /> <br />~~e. <br /> <br />BUILDING SIZE <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 />D BUILDING <br /> <br />$ <br /> <br />m ICX)C) <br /> <br />\~D <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />t...\ 1 OCX::> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />~ <br />VALUATION OF MECllANCIAL INSTALLAT~ON ,~*~ I~!/ <br />o OTHER (iJ ~-I1i..{, <br />t;;!" FRAME 0 STEEL 0 OTHER . 5' 'J.~.~f'f . <br />IS PROJECT IN FLOOD ZONE AREAD YES )p-1J6/P <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _ BLOCK <br /> <br /> <br />(!/IfrJ 177 <br />SIGNA'l'URE ~ ~ 'SJ -:J:::-J>... <br /> <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN_Ji.'~ C COMPANY ~ ~c. 2l <br />n STATE CERT OR REGIST # <br />SIGNATURE ~ /Iv \ .x A U(- CITY PROCESSING # 30 <br /> <br /> <br />BUILDER <br /> <br />COMPANY ~\\~,~ CU.~''>~W"\' ~e." , <br />STATE CER'l' OR RE~IST # C~ c..cl~:~5(\ L\ <br />CITY PROCESSING # f1 \ ~.""""""'- <br /> <br />****************************************************************** <br /> <br />4 & COMPANY ~r\\t..\\j P\V'r.....b~5 <br /> <br />. / STATE CERT OR REGIST # c: ~O~ ~ "t~ <br /> <br />------ ~ CITY PROCESSING # <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ ~ * * <br />MECHANICALdi ~~- COMPANY ~ ~~ ~,\ S n,'::..-\ \O~~.....,,\ . <br /> <br />STATE CERT OR REGIST # ~.~Q 3;).....". '1 <br />SIGNATURE 1l __ CITY PROCESSING t . ':t C"~ 3 V <br /> <br />PLUMBER <br /> <br /> <br />SIGNATURE <br /> <br />'\ <br /> <br />***************************************************************** <br /> <br /> <br />- ~. s. ~ ~ COMPANY r.... \ \e.<'~ CLQ-b"", 1'\'.....,'::, <br />STATE CERT OR REGIS # C-I~ LO L..B3QY <br />SIGNATURE CITY PROCESSING # f' \ <br /> <br />***************************************************************** <br /> <br />.. <br />