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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 7 h 2/ ;D <br />PLANS REVIEW FEE <br /> <br />,. (!enler <br />OWNER'S NAME---rDuJi\i.euJ M~c;lico..l/\rk^Po..f+ner6~'lp PHONE ~r~-/~~-;)15q_ <br /> <br />JOB ADDRESS ?.il'b\O -\-~, '8\L\ tv\ed,ell\ Wh ~oo.rt L.ep~1" l-\d\~ ,FL.. <br /> <br />LEGAL DESCRIPTION: LOT(S) A-H-o..ch.eol BLOCK SUBDIVISION <br /> <br />PARCEL ID # 31.\- ';}. 5 -? \ - O(){)O~ 062/:x)- coB;;)., <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />tiaALTERATION <br />[] DEMOLISH <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br /> <br />[] MOVE <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />IXl COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL, <br /> <br />o MOBILE HOME <br />[]OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />1 n~e('"ior ~eMoGl'et <br />SQUARE FOOTAGE ~ \ 000 <br /> <br />DESCRIPTION OF WORK <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 /> PERMITS REQUESTED <br />...~ BUILDING $ ,I ~ Odd VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL AMP SERVICE ~ FLORIDA POWER [] W.R.E.C. <br />f:J. PLUMBING <br />'fJ MECHANICAL $ 3~ VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED F~OOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />SIGNAT <br /> <br />COMPANY j~J J)€i!e{c'fl~re! (!~l1lf line <br />STATE CERT OR REGIST # __ () _1!1..s23 <br />CITY PROCESSING # ::1""5 S" <br />rV'lecJ l.v c.. S "...,. 7 'i '7 7.. <br />************************************************* <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY h'rsf tla.t;..'1 Clec./-r,'c <br /> <br />STATE CERT OR R~GIST # (:PO J/,L) / 7 <br />, CITY PROCESSING '# ) ~ ~ ...' <br /> <br />~ vJG.." . <br />* * * **** * * ** ** * * ** * **** * * ** * * *;;: I * I*,* ,** *-P) ~:~ *'*b**':; "" <br /> <br />COMPANY ICv--S T'1 S I ~rn- 1-1 <br /> <br />o . . nO (\ I. ^- . ~.--- STATE CERT OR REGIST # <br />SIGNATURE -v'-A.JJ}f).UjL'0""'~ - - ~ CITY PROCESSING # "''-.'1f) <br />, . OK... <br />** * * * ** * **.** * ** ** *** * ** *** * ** * * * * ** *** * * **~** * * * **** *,j:;; * -.I; * ***** <br />COMPANY: L... (/ ""J,. ""v. <br />STATE CERT OR REGIST # a'w\ tJ>GJ I ~ 4 /r; <br />,~ ~ CITY PROCESSING # ~o~ . <br /> <br />********************************************************~~~***** <br /> <br />ELECTRICI <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />....~.'~l. .,..,~_...t'..:, .;"" <br /> <br />*****************************************r******~*****~*~******** <br />l~~ '.' ,.'. .\ . <br /> <br />,:'f! <br /> <br />j~ <br />