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<br />C4 I{o l' . <br />11/2. D<: ItJ.....~.tJ:-w <br />TE RECEIVED . <br />PLANS ~_-'RB-~ <br />~ 'Z.< <br /> <br />OWNER'S NAME tNE q 7 <br /> <br />:::::~I:::~OTISI ~~ BLOCKca>OU~ S~D~SI:N~I~a:~ ()ejs ~.tl <br /> <br /> <br />PARCEL ID # 0 3 l'v7' /'-. J . 0 l00 ' Uvea) oJ'lP (ORTAIN FROM PROPERTY TAX NOTICEl <br /> <br />C~I \Ji':>C-lh) <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br /> <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> D SIGN D MOVE D DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br /> <br />~tl.~ fl D <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />I:!>MVL 2 D~ <br />,,5 t:itl ( Lhl, , <br />SQUARE FOOTAGE . - ( \....f HEIGHT <br /> <br />Z- 1J~ . <br /> <br />ENERGY FORMS. <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />g" BUILDING <br /> <br />$ <br /> <br />~! '~1fP <br /> <br />'2LXj AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />'1- ELECTRICAL <br />I}. PLUMBING <br />ft MECHANI CAL <br /> <br />SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o~o <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />rOOFING <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />,. FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />'"0J ph \ 'f'J f' t--J~i.()Q\ '2~S ~ <br />STATE CERT OR REGIST # -E e.. COo S fa ~ <br />CITY PROCESSING # i try . <br />NlQ of. 120 ... c.... c".....p ... Ckle ~(.l <br />************************************~********~*******~*****~~**** J' <br /> <br />COMPANY J>~~~ \s ~ \ru\ \\ \ ~ <br />STATE CERT OR REGIST # \L "". V .<>Q <br />CITY PROCESSING # 1'1 Z 0 _~_ <br /> <br />***********.***************************************" ***?<**.********* S k <br />COMPANY ~ \ .~~ ~~ <br />(J/1 Qj)JQ - STATE CERT OR REGIST # II ) <br />~cw-- . .. -- CITY PROCESSING # -t-i :~ f11J <br />A led -'1.4J -\-: $~ . Cerh .. <br />*******************************************i~****************r*** ~. <br /> <br />-\2.0J \ I COMPANY ~ ,Af'-l Cuv-51Tl u ITroc.--' <br />...w. \ '. ~\IIJ(). \j ~. STATE CERT OR REGIST # C- (jGOSl1 '1 L <br />~_._-- CITY PROCESSING #f~ <br /> <br />COMPANY <br /> <br />ELECTRICIAN ~ ~ <br />SIGNATURE. . <br /> <br />:=RE Q~/ c;jflJ~ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />