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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 1- S- -D / <br />PLANS REVIEW FEE --' <br /> <br />OWNER'S NAMEB, f'. ::, 'V\ 1-\ \~\J \ t() ~ .. <br />JOB ADDRESS 6 ~ / ~ i~~~-" fu.; lvl <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK <br />PARCEL ID #03 U-,\a at ()\'\~ C)~C!)~~ ~'1.~ <br /> <br />.-.-' -. <br /> <br />PHONE ~ ~ g -a \5S <br /> <br />(fl" . <br /> <br />5'Loe~ <br />SUBDIVISIONL~\.)~E.\-lt)~~ ~ ~~~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALT E RAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL 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 />D RESTAURANT & HEALTH <br />DESCRIPTION OF WORK I0E l-0 P~.t:..;S \ b s;:;..~c... <br />BUILDING SIZE 4(g )( l\(.p <br /> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~CH.n.NICAL <br /> <br />$clSqS' .~~ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />.1 J9- ~ <br />w'~jg0fl <br />. L/J, qD D <br />INSTALLATION ~ / [p <br /> <br />\" 1~ // <br /> <br />~ILDING <br />LYELECTRI CAL <br />~UMBING <br /> <br />$ '13 j ~~~ ' <br />~o~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~LORIDA POWER 0 <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />BUILDER V l(:.. \:::....-1., k:) \.Y:,) K ~ ',-,-5 COMPANY <br /> <br />St ~ STATE CER-'l'--GR--REGIST # <br />SIGNATURE ~, "~l//C.u NU-:..bx.1..S ~PROCESSING ~~.2. <br /> <br />* * * * * *** **** *** ** * ** * * * ** * * * ** * * * ** * * * **** *:!;..:~.:lr:!s.***** ** * *** **** ** <br /> <br /> <br />COMPANY ~ 0\. -r\- \ ~ [~ v*-, ~ G I ~ e.- <br />STATE CERT OR REGIST # '€:...YLoO \ 34 \..( '1 <br />CITY PROCESSING # q1 <br /> <br />*******~******************************************************** <br /> <br />PLUMBER bE~ 1:<.'::>'\ s W\LL\ ~ ~ <br />SIGNATUREA~J. ~~ <br /> <br />COMPANyj)e,J11J ('~ L-. tv,' tll~ pLA- <br />STATE CERT OR REGIST # ~o 'On <br />CITY PROCESSING # 19~/) <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />MECHANICAL \0 0 ~ <:::... ,,\:) K E (\r\ \N<".6 COMPANY <br />\ \ STATE CERT.._,?!3-__RE~IST_->>__., <br />SIGNATURE \ <e:r-\r- ::::t::\- ..'-^-"--- _ A ~ CI SSING # " ~ <br />\ '-/ C" c:x:..~ <br />***********************************~~~'~*~****** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />