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<br /> <br />APPLICATION FOR PERMIT <br />CITY or ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 4/ Z (, /0 ~ <br />, <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C,12A-JJO ;-fo(l( {o/J <br /> <br />JOB ADDRESS 37 L,()() N ~ U kOM <br /> <br />/YI-/-I . P . <br />AvE. LOt <br /> <br />PHONE ?tz - /001 <br /> <br />2.--2-- <br />SUBDIVISION GIZMo /-k;(G./ C Dr/ . <br /> <br />LEGAL DESCRIPTION: LOT(Sl <br /> <br />BLOCK <br /> <br />PARCEL ID # ]Lf-Z--l)-2-I-ODI 0- OIStJO./02-lD /ORTATN FROM PROPERTY TAX NOTTCE) <br />WORK PROPSED: ~ CONSTRUCTION D ADDITION DALTERATION D REPAIR IY-!NsTALL <br /> <br />D SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />DINDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />[]QTHER 4- WJVf I tl/~ <br /> <br />CJ RESTAURANT <br />(oAIl-. <br />DESCRIPTION OF WORK U - fl-tJDJV\ <br />I <br />BUILDING SIZE ~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />i Zx: 2~ J5";>< lZ- <br />lZAl6E..o ~/lI~PN /2w1VL I (~Af<j/of-r <br />, I <br /> <br />SQUARE FOOTAGE 100 ? <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2l SETS OF BUILDING PLANS & (ll SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (ll SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />B"BUILDING <br />~ECTRICAL <br /> <br />$ 12-, 'tot{, I 2- <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C.VtJ/~ sHEf) <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D 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 />D NO <br /> <br /> <br />BUILDER <br />SIGNATURE~ 1:), ~ <br /> <br />......,;U~:i.> <br /> <br />COMPANyJ{UCDI../>~nfJIV or-- O~M12A<... PL- <br />STATE CERT OR REGIST # L/4,uo s'7"7 rZ-. <br />CITY PROCESSING # ~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE~ (J,\ ~ <br /> <br />COMPANY 4GE f;~CT/2(C <br />, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**************************************************************~** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />