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<br />APPLICATION FOR PElWIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~") , <br />~CEIVED 8/ rJ N(}J <br /> <br />PLANS REVJ:EW FEE <br /> <br /> <br />OWNER'S NAME GryrQCYI ~.?~"-' ~n8,I"vUc PHON~J.813l?' ) <br /> <br />~ <br /> <br />k.p\-Ij( htl \S I ~ 33s--fD <br /> <br />BLOCK ., q <br />CO l.\-O <br /> <br />JOB ADDRESS ~7 rS <br /> <br />I C);-1-.- S, -t-Y E' e. -+ <br /> <br />LEGAL DESCRIPTION: LOT(S) L\~. S <br />PARCEL ID # II d.-l4' ~\ ODI D D7QCC> <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />OMULTI - FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />('()YI~ h--u..c + n~U D\DCk..- S\ ~ Ie .(:c..vY"\1 Ij hom <... <br />SQUARE FOOTAGE ILP 4- 3.. ~ HEI GHT <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 /> PERMITS REQUESTED <br />f.?3I BUILDING $ S'~ 0,", '" - VALUATION OF TOTAL CONSTRUCTION <br />I2SI ELECTRICAL otoa AMP SERVICE IS) FLORIDA POWER D W.R.E.C. <br />[gJ PLUMBING <br />~ MECHANI CAL $ :l3~S' .- VALUATION OF MECHANCIAL INSTALLATION <br />, <br />o GAS D ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 181 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [8 NO <br /> <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />Z- ,:/ ><t' <br /> <br />COMPANyJ.Y\ r3n rt..k.. E, O\ssOCl cd-c S. <br />STATE CERT OR REGIST # c~~e 0434 ~;;l. <br />CITY PROCESSING # 3~1 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY rY\a.x -h n cS I e,c. +11 c. I T VlC,. <br />STATE CERT OR REGIST # E.. e... 00 \ 3449 <br />CITY PROCESSING ~ <br /> <br />********************************************************** <br /> <br />SIGNATURE <br /> <br />;;f}/~r ~~~ <br /> <br />P 1lA/Yl \o{( S cC-' Suo ~e.Vl CVl+. <br />COMPANY . . _. ~ <br />STATE CERT OR REGIST # GFC, ~ 7S04 <br />CITY PROCESSING # I ~C?? 0 <br /> <br />PLUMBER <br /> <br />* * * **** ** **.*** * ***** **** * *** ** *** ** * **** ** * ,* *** * ** ** **~****** ** **. -r: ~ <br />YBCBABICAL;/L . COMPANY ou...+ he r VI G:.Yn -Pol + ~ VI \- . ....JA" I Q." <br /> <br />~ STATE CERT OR REGIST # /(N1 t:Jx:.':::JIStJ2. ~ <br />SIGNATURE r CITY PROCESSING # ,_"3 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />0) <br />