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<br />, <br />.., <br /> <br />(jY <br /> <br />APPLICATION FOR PEIOfiT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/' r <br />DATE RECEIVED {~.- <;'-0 ( <br />PLANS REVIEW FEE - <br /> <br />OWNER' S NAME_I-\e.V\r~ i- c..hl\~+\V\~ ~C~ \CA.S <br />JOB ADDRESS S 1'3 J - ~~ nd S-t--Y-e...e_+ <br /> <br />PHONE (~s6) ~q 4- - (0 4Y q <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK <br />PARCEL ID # I ~ ;;\ lo ~\ O<:::cX:? b4tl-OO <br /> <br />.;.< <br />COlD <br /> <br />SUBDIVISION i~in e eXes. t- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL 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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Ccns+.--lA...c....+ CL S'r:51e .+:'GVY"\i ~+r-o...rne.. hOVYIG <br />BUILDING SIZE SQUARE FOOTAGE ~ l..o(o ~ HEIGHT <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 />PERMITS REQUESTED <br />IE BUILDING $-1 i q I -, crt> . DO VALUATION OF TOTAL CONSTRUCTION <br /> <br />181 ELECTRICAL <br /> <br />.....700 <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />IS5I PLUMBING <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~ FRAME <br /> <br />VALUATION OF MEClIANCIAL INSTALLATIO~ 1<d <br />o OTHER IgJ. 0 <br />o STEEL 0 OTHER /1 <br />IS PROJECT IN FLOOD Z .. ~D YES 181 NO <br /> <br />KJ MECHANICAL <br /> <br />$ <br /> <br />33~O . C() <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SIGNATURE <br /> <br />/J-L "2 ;' ?d <br /> <br />COMPANY Ten B,-i nk...~: ~q...ss'oC\'<AJ-e s <br />STATE CERT OR REGI ST # C-G:tQ, 04- 3Y :.J. J- <br />CITY PROCESSING # 3~' <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />BLBC'I'lUCIAR ~ <br />SIGNATURE~ ~. . <br /> <br />COMPANY 2- e..p h d (' h I II'S, E: I ec t ~.l c.... S "C- <br />STATE CERT OR REG ST # <X::oal (p ~' <br />CITY PROCESSING # Cj~ <br /> <br />********************************************************.********** <br /> <br />PLUHBER <br /> <br />~~~~/ <br /> <br />'Ph.A.xnbe.rs cf SlvLt>~CLn-e.V)cn+. <br />COMPANY ") <-._ _ <br />STATE CERT OR REGIST # Q,F~ 00 SOt.} <br />CITY PROCESSING # l 'l~(J <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *(011.* * * * * * * * * * *"}{ * * * * -;-.* * * * <br />MECHANICAL COMPANY ~ou:.+~ev V\ '-~~ + <br /> <br />~ e-/ / STATE CERT OR REGIST # Rm 00 I SO ~ d-. <br /> <br />SIGNATURE ~~ ~~ CITY PROCESSING # 5:2, <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />