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<br />,I] . ~ 10 / <br />:)1V <br />OWNER'S NAME-AII,aftCk. ('JI/)~cJI tJf ~EfilY~#/11 ~. <br />JOB ADDRESS b2!;/ Fol!-T i:l/' (;, ftDA-O <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />PHONE <br /> <br />781-<6<665 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />/3 -;"'6 -- 2/ - t::x:'IO - t!J'7StX> -cctJO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />;g OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT Ii HEALTH DEPARTMENT APPROVAL <br /> <br />Fa'I1;L~ L;'!e <br />. I I I . <br />.//0 If /]~ <br /> <br />(cf>Jtielt <br />SQUARE FOOTAGE I.. .~) \ '5:2...2 <br /> <br />HEIGHT <br /> <br />? I <br />,j~ <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENER~Y FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />S~()ro.OO <br />r <br /> <br />~DO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />J2; <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />J(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />q If, ;25 <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE ~ ~ $ ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J fJ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN nJ /J ~ COMPANY ilI4i'/'!i'/l. E./l'rp/<-. <br />~, , STATE CERT OR REGIST # <br />SIGNATURE I' - CITY PROCESSING # t:t7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />tk#J-~ <br /> <br />COMPANY Ckt:i.S 13A11/t flJ..tlJflb/J}b <br />STATE CERT OR REGIST # j( Foo Y/,syg-- <br />CITY PROCESSING # / h <br /> <br />SIGNATURE <br /> <br />* * * * * * * * ** *.* **** * ** ** * * * ** * * ** * * * * * * * * *** * ** ** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGI <br />CITY PROCESSING # <br /> <br /> <br />YI4~~ <br /> <br />MECHANICAL <br /> <br />/8..2 <br /> <br />***************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />" <br />