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<br />OWNER'S NAME ;.j I tC :I-rrl-~<:,kk <br />JOB ADDRESS wi ~ J-/lo K\d~~ Dr iY-€- <br />LEGAL DESCRIPTION: LOT%ff,:L... BLOCK SUBDIVISION <br />PARCEL ID # :, - L~ -21-0 130-('){YY)() ~ coello <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR'DdENT <br /> <br />DATE RECEIVED (p .- cf2.;2'- D D <br />PLANS REVIEW FEE <br /> <br />PHONE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />9 PLUMBING <br />Izi> MECHANI CAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D RESTAURANT <br />WORK ~4 N~ <br />d~ 'f-Z5U <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />'(Y)c)b~le l-tG'YLL-e <br /> <br />SQUARE FOOTAGE j 460 <br /> <br />HEIGHT <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 />8ERMITS REQUESTED <br />$ d I?-J)D (;) VALUATION OF TOTAL CONSTRUCTION <br />c90l:J AMP SERVICE 0 FLORIDA POWER ~ W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />~ OTHER <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS el4 II <br /> <br /> <br />BUILDER <br />SIGNATU~ <br /> <br />ELECTRICIAN <br />C=c <br />SIGNATURE ' <br /> <br />PLUMBER <br />SIGNATUREq- <br /> <br />o STEEL <br /> <br />c --c:::::: <br /> <br />COMPANY e '5. <br />~TATE CERT OR REGI ST # .::c <br />C~TY PROCESSING # ~J' <br /> <br />****************************************************************** <br /> <br />COMPANY (!-IN-:b,er\U'f) c Ice?, i'~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~~ <br /> <br />(~ <br /> <br />~~~. <br /> <br />****************************************************************** <br /> <br />~ti.eeI~/elds <br /># ::r: 11- t)OCX)O - ~ 0 <br /> <br />, <br />-- <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />~>--~ <br /> <br />-- <br /> <br />....~~** * ** * *** *** *** ** * *** *** ***** * ** **~~:,;;;~* *t;Fl'he.s* (1;;'; '+ *i!..r&A-n~ <br /> <br />;;:::;r- .-=::::> STATE CERT OR REGIST # <br />SIGNAW:': - ----'<c - c ~ _ CITY PROCESSING # I '1 <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************.********* <br />