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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br /> <br /> <br />,,\ <br /> <br />9-1/-00 <br /> <br />OWNER'S NAME G7oY~ r. p~ Ten l~ylYtJ.,,- <br />JOB ADDRESS $'7 ;<.q- \ Cj+t- .s t-v-ee_+' <br />LEGAL DESCRIPTION: LOT(S) lo~. ~ <br />PARCEL ID # --LI ;2.LP d' 00 I D <br /> <br />PHONE 'l~ ;)--913~ <br /> <br />BLOCK 19 <br />019 00 <br /> <br />SUBDIVISION <br /> <br />(X)~D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ ~tv-"'LC..t- ~ s\~ k ~'Y"II ~ block.... h.cYY\.~ <br />SQUARE FOOTAGE 1lv4 3 .L/ ~ HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />55J BUILDING <br />~ ELECTRICAL <br />KI PLUMBING <br />ri MECHANICAL <br /> <br />PERMITS REQUESTED <br />$ .5~,OOO.OO <br />ace; <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />M FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />;)3~~ .co <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: ~ 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 I5C'] NO <br /> <br /> <br />SIGNATURE <br /> <br />.~ Z.CCq <br /> <br />I en BV"\vUt.. ~ ~c)C\ cd-<..> <br />COMPANY . <br />STATE CERT OR REGIST # Q~c..O'f34;?-r <br />CITY PROCESSING # 3.1 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRIC <br /> <br /> <br />~ <br /> <br />M .. ~ '..-.- <br />COMPANY 4~1t/\ lD~ 1>-.. c.." J ~t:- <br />STATE CERT OR REGIST # Ej~ oOI3liLt, <br />CITY PROCESSING # 9'1 <br /> <br />********************************************************* <br /> <br />PLUMBER <br /> <br />~4r~~/ <br /> <br />COMPANy~IUJ'l1 bers ot .s~CU1UL &.+. <br />STATE CERT OR REGIST # QFC,.; 7S0t..f <br />CITY PROCESSING # 1<t~O <br /> <br />SIGNATURE <br /> <br />***********.***************************************************/'r***!1 L ~ <br />MECHANICAL COMPANY: s/')O rl'/~JII../ () 1'1/ 'Fc.h..,r <br />~ ~ STATE CERT OR REGIST # Al1100}!JQ2...<-. <br />SIGNATURE ___'---' CITY PROCESSING # . 6.3 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />