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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /Cj- 5- [) U <br />""- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME !31ff( BA- /2,t1 V..G PC~ <br />JOB ADDRESS 3F ~3 f! -:Z~t> AIlE. 2 ERfVRHIC-L 5' , FL- <br />/ . <br />LEGAL DESCRIPTION: LOT(S) ,(/ BLOCK fCf <br /> <br />PARCEL ID # 11-2+" 21- ()()/o. 205'tJo-O/9c' <br /> <br />PHONF/jJ'3) 783-703~ <br />.3 3' 5" ~o <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />iaALTERATION <br /> <br />[9"'REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 'R~-fYlODE-L- / ;;?-G- )f1'f6 <br />7 ~ "'y..y:r" / <br />BUILDING SIZE V ./ v <br /> <br />SQUARE FOOTAGE <br /> <br />9?-0 .- <br /> <br />HEIGHT <br /> <br />or <br />c.' <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ /~ eJOO. ~ VALUATION OF ~ CONSTRUCTION <br />/ Z- 5:- AMP SERVICE lY'" FLORIDA POWER 0 <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />~ <br />270<:?, - <br /> <br />VALUATION OF <br /> <br />~~ <br />".R.E.C. 1'.10 a~ <br />/' (j/' <br />MECHANCIAL INSTALLATION .s1J.~1 Jl <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />DO~ <br />~RAME <br /> <br />o STEEL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />~ <br /> <br />COMPANY 1//1 (/'/0 td. ;:To#, A../JO~ f;ClI.t-/:>6l2- /IUC <br />STATE CERT OR REGI, ST # ~6 '" 6' '3 /,b <br />CITY PROCESSING # '~ J I' <br />I ( <br /> <br />*************************************************** <br /> <br />COMPANY I..{A r+ ...;; Ei.e C~( ~ ~ Ih c.. <br />STATE CERT OR REGIST # l1ROO/3yy 1 <br />CITY PROCESSING # ' Cf7 0 t \/"---. <br /> <br />* ******************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />*****************************************~**;~***~*********** <br />. 7~~v~S <br />COMPANY # L ""/1 rv-J n:::',I / /( <br />~ STATE CERT OR REGIST e1 ", ~/~/~_ <br />~"'C7' CITY PROCESSING # 2 O~O II. v.L <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />