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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME CAlZoL.v/IJ &/1 M 13.$ <br />JOB ADDRESS 3710 '12- A/clhM.. IJVf. <br />I <br /> <br />1-0, IS" <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION (;;/fAAfp /-16 (2( 27JN <br /> <br />BLOCK <br /> <br />PARCEL ID # ?if-lJ;; -?-{ - 0610 - 01 '300 - no 15 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />[JADDITION <br />~VE <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLI SH <br /> <br />[J COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />~BILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />5fSr <br />'lB X 5b <br /> <br />(Y/ 6fJI l-p <br /> <br />J-IOM~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />l5lrK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (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 FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />~UILDING $ " ()(XJ. 00 VALUATION OF TOTAL CONSTRUCTION <br />~ECTRICAL 15'0 . AMP SERVICE ~LORIDA POWER [J W.R.E.C. <br />~UMBING <br />~CHANICAL $ (coo. 00 VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS [] ROOFING [] SPECIALTY [] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />SIGNATURE <br /> <br />~ 4- f21~ <br /> <br />COMPANY tnfll15iM<<- Pfll7t--f/f <br />STATE CERT OR REGIST #.:r 1-1-0000'30'1 <br />CITY PROCESSING # 2. 0 q 0 <br /> <br />BUJ:LDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />l~ /I ~ a,tdJ <br /> <br />COMPANY: ,4ci!' ~~ r7ltc. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J 1''7 <br /> <br />ELECTlUCIAN <br /> <br />****************************************************************** <br /> <br />~AdA <br /> <br />II~ ~ <br /> <br />COMPANY mAa.$ /-IA<<... Ptl-bL--f1 f <br />STATE CERT OR REGIST #..I If - oooo~ 7 <br />CITY PROCESSING # -:2-oq 0 <br /> <br />~ <br />~ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MIllCHANICAL <br /> <br />* * * * * ** ** * *,*** * * ** * ** * * * ** * ** * * * * * * * ** ** ** * *;t ~ *...:* **~ ***** *** *** *** * <br />COMPANY t1..C4'::- !::fill- COAJIl, <br /> <br /> <br />a/l~( Il ~ <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~~ <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />