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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATI: RECBZVBD h -ot /-- i) I <br />PLANS IUWl:K1I 1'&1: <br /> <br />OWNER'S NAME_Pa.ul c4- S t.l6hQ,ellA.. C 1(1 tD \a <br />JOB ADDRESS 3~ 15 ~ MefurCtl re.n-te.r ~e ' <br /> <br />PHONE "18 ~ . t.+6\o 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # ?l,C;..;)S;. ~1. DO'lO. 00000. nD4D <br /> <br />SUBDIVISION <br /> <br />(OBTATN FROM PROPF.RTY TAX NOTTeRI <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />9QOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK J)urn-l.(l,<)-t ~S ~<) ~6+em <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ., <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ 4d~800 <br />) . <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELEC'fRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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: O..BLOCK <br />FINISHED FLOOR ELE~ATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AHEAD YES <br /> <br />D NO <br /> <br /> <br />!...IJ.....:.I..l.....f.~..:.. <br />.1:".1' I <br /> <br />BUILDER COMPANY r5cha f)pr ~()rg-<l~ fie::: 1 <br />nt'/I/'l J '"' P STA'fE CERT OR REGIST" . - 2~ I ,~l.f <br />SIGNATURE ~,.Pa.j1f11tJ. flPA CITY PROCESSING It ;:Jg d <br /> <br />*********************************................................. <br /> <br />ELECTRICZAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST , <br />CITY PROCESSING # <br /> <br />.. <br /> <br />***************************************************............... <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST , <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />***********.***********************................................ <br /> <br />COMPANy <br />STATE CERT OR REGIST " <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />*****.***************.*....*.*................................... <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />**...*....*........*.*.*......................................... <br /> <br />41 <br />41 <br />