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<br />APPLICATION I'OR PERMIT <br />CITY 01' ZEPHYRHILLS <br />BUILJ:)ING DEPAIlTMBHT <br /> <br />0iJ <br /> <br />:1-~o-o I <br />DATE BBCEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME c.. to\S <br />JOB ADDRESSL LD+..r 3~) <br /> <br />FOR6~-t~ <br />3/(,50 N'i\I.Jpoa:t <br /> <br />PHONE (~{3) ll9-3S10 <br /> <br />~~~~ <br /> <br />LEGAL DESCRIPTION: LOT (S) 3~ BLOCK <br />PARCEL ID # O'3-al,- ~1-O\30-t:/)OCO -D3~O <br /> <br />SUBDIVISION Z'E-f'h'iSt. \GAlE W-L\fEs <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br /> WORK PROPSED: ~NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />, PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS ~MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />\=Oi'L.. O<!-~~c-y <br />1':34<-/ <br /> <br />HEIGHT <br /> <br />I z,' 5 <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE ? <3 <br /> <br />S~t- ~ <br />)(y~ <br /> <br />","ob: l hc~(.. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />~ ELECTRI CAL <br />')ZI PLUMBING <br />~ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />l)a <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />, ,600 .cfi' <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: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />LI " <br />7 (; <;:It.."""' ",-r.o,,",J <br />, <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~NO <br /> <br /> <br />BUILDER <br />SIGNATUR~ <br /> <br />%,~l< <br />'" , <br /> <br />COMPANY. G AJOtZ... IfZ-Ar>6?O,q- <br />STATE CERT OR REGIST # :I: W. OCQ:::) "Ira 7 <br />CI'l'YPROCESSING # ..2.. <;5;;;2 ./ v.........-' <br /> <br />****************************************************************** <br /> <br />ELJl:CT1UCI~ <br />S I GNATURE( <br /> <br />rvv~k <br /> <br />, <br /> <br />COMP)lliY :}"O(2...00n. (; J Ec.....~c... <br />STATE CERT' OR REGIST # E:."'R C06~J/d) <br />CITY PROCESSING # "0 /,'/ <br />'" <br /> <br />****************************************************************** <br /> <br />PL_~ <br />SIGNATU <br /> <br />f\~~k <br /> <br />1 <br /> <br />COMPANY R~~ 1'\~bl~ <br />STATE CERT OR REGIST # "Kf. df3 :).37 <br />CITY PROCESSING # ;l.7.~ t......------- <br /> <br />* ** * * * * * * * *,*** ** * * * * * * * * *** ** * * * ** * * * * ** * ::t:S* * * * * * **;...* ** * * * *** * * * * <br />YECllAHlCAL COMPANY ~~.:5 l:::>4S (:) A I ~ <br /> <br />~ . ~' STATE CERT OR REG. lS~ # C. AC-() '-I'f ~ .' <br />SIGNATURE CITY PROCESSING # J / <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />