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<br />OWNER'S NAME ~I4P.d d <br /> <br />-!C1QL'2 "'" <br />JOB ADDRESS _/ I 'C1 ~..L) r L.'1, 4., ';;. , t <br />( <br />LEGAL DESCRIPTION: LOT(S) /'2)2 <br /> <br />PARCEL ID # ? 4- ~ ~ - 2 1- tJ eko " oooov- ,,:U 0 <br /> <br />:J, <br /> <br />APPLICATION FOR PERMIT I / <br />CITY OF ZEPHYRHILLS 5': 'j I~ 0 <br />BUILDING DEPARTMENT DATE RECEIVED - <br /> <br />;c.e~)1 eif~r PLANS REVIEW FEE <br /> <br />5"/4 ((ShtJ,ILY " PHONE I""Lf()!"":"f'12""3~,(7 <br />/J A 2 f. 'Il <br />, <. , I -. J ~;.;:c: , -- ,. f ~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />[,.JQc-/r! <br /> <br />A'~H <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />D SIGN <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />.J21'OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Yl1 OT" 12 rJO /2- "{ <br />2~ >< L(o <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />It(/ <br /> <br />DESCRIPTION OF WORK <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 />~ILDING <br />~LECTRlCAL <br />~LUMBING <br />D MECHANICAL <br /> <br />PERMITS REQUESTED <br />"'7/ J 030..~ <br />~(O" C _ VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br />W.R.E,C, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />~~7 /'"' ~ COMPANY Z <br />/ STATE CERT OR REGIST # <br />. . CITY PROCESSING # 'Z -s-97 <br /> <br />aaaa_, **.a...a...aa...aa~e'~_p'I(?1T~ .~ <br /> <br />ELECTRICIAN. ,/,./ COMPANY ~ .&:9' _~L. <br />~ ~ [) r -:-td.1C)17~/ STATE CERT OR REGIST # .'. <br />SIGNATURE V '. ' CITY PROCESSING # '7.--L-;~ <br /> <br />SIGNATURE <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />(ttL% bn4 <br /> <br />COMPANY lJl/ J / P0.;u,6/ /19 <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 2... / ( 2- <br />, <br /> <br />SIGNATURE <br /> <br />* * ** ** * * ***.* *** ** ** *** ** *** * * * ** * * * **** * * ** ** ** * * * * * ***.j.., *** **** * ** <br /> <br />MECHANICAL <br /> <br />COMPANY <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 />