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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~ -;2" - 0 I <br />PLANS REVIEW I'EE <br /> <br />OWNER'S NAME t~~')...A..,Y <br />5-701 <br />JOB ADDRESS '/-:::> 0 + <br /> <br />/4A~ C/l/YJI.~LL- <br />f{TI-I S I <br /> <br />PHONE <(')"3 -7'iJ-U 0 ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # / /-2{.-2/- 001 0 - 0'-) )00 - 0030 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION o ADDITION DALTERATION ~REPAIR o INSTALL <br /> [] SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> [] COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/(F /?:];;<- F /f( c= /J.4 /VI /-l ( f" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SE~~RMs--._,,,. <br />FORM~....../ )" <br />// qJ11' ~f}'j-<j <br />PERMITS REQUESTED / (!q}.L 1)1- ~ <br />$ 2~ B9/. 7 1 VALUATION OF TOTAL INSTRUCTION JtP <br /> <br />o BUILDING <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />AMP SERVICE 0 FLORID 0 W.R.E.C. <br /> --. <br /> ------.- <br /> VALUATION OF MECHANCIAL INSTALLATION <br />0 OTHER <br />0 FRAME 0 STEEL o OTHER <br /> IS PROJECT IN FLOOD ZONE AREAD YES o NO <br /> <br /> <br />[] ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY /~t/L /XVi S /CE51oM1J 0)\/ <br />STATE CERT OR REGI ST # C.8 C~ 0 S-I ~~ /, <br />ITY PROCESSI~ # ~7f:i. <br />~ 0. rJ ,-I . <br />******************************** <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY AV.A,lVC~ ft'Lcc.T <br />~~ STATE CERT OR REGIST # ~ooa2)i7 <br />~ CITY PROCESSING # c:J77~ 0/( L-- -- <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY /0 Pt..,. S ~L. L ./ LvJ'l1 g /~ b <br />~ STATE CERT OR REGIST # c.::;:=r 0,1) 7 () 'J '} <br />~ ~ Y PROCESSING # 115 <br />( '7 4JJlRAi? ...o~ -0T ,:,...h t:. (JM~. Cod /J 0 .M~/ <br />*********:;.~.******************** * V-i/.,{*****-1*){****Ji***'1;-***4***-Ith' ~ t/ . <br />COMPANY /-/ L .R# A .4/r -+ .#..c.lIJ/!"; t <br />~-----. / STATE CERT OR REGIST # I?A 00/:/2.../ I <br />_ ~ CITY PROCESSING # A7"U <br />C./ ~ 1(/'01< <br />***************************************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />'l ner, <br />; ~.'. <br /> <br />,.......--..." .... **,.,.n~~'~r************* <br />"W.J~ <br />'Ift. ~ VOtOM <br />'>! ftlIIIIl1.."mcD __ <br />r.t"~ <br /> <br />~'~********' <br /> <br />********** <br /> <br />ooow ..1 ~AlUl <br />-'-1 tc ~~ ~ v..- <br />_.\$ -eM <'fniqJt1l"r...~. <br />e.{'r~:.D .. ~,_..., <br /> <br />.~.,"","'.' <br />