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<br />CA II aj/ <br />~/~11{) I <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~ -/5'- 0 ! <br />PLANS REVIEW FEE <=- ' <br /> <br />OWNER'S NAME -:::u.~ <br />JOB ADDRESS blStf <br /> <br />~ \ ~ \ ~ D\....U.. m \ ~\...\ '('r\ <br />~T ~ ~ { ...,G. E.i> . <br /> <br />PHONE -,~ -=-l~CJCO <br />-z..EPl-N ((.. U. t '-'...5 <br /> <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 03 - "2.J.~ - 2.J -(yJC:I:J - C5J \cCJO - (J<:)'Z..() (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ')l1NEW 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 DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~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 />BUILDING SIZE <br /> <br />c:J ~ESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />WORK~t'~ ~'~7\C} '5\~L. ~UH.~\~c:.,.. <br />r-:.... I _,...-1: r-.r-.. ~ I <br />';::"0 x. ~ 0 SQUARE FOOTAGE ~~ ~ HEIGHT <br /> <br />\ { <br />24-'?' 'I <br /> <br />DESCRIPTION OF <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 />~UILDING <br />~LECTRICAL <br />~LUMBING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br />$ ~sn)OOO - VALUATION OF TOTAL CONSTRUCTION <br />.)DD I ~"A-t AMP SERVICE ~ FLORIDA POWER 0 <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />~ STEEL <br /> <br />o OTHER <br /> <br />W'R.E.~ <br />t/~ I <br />/ q .-1/ <br />1~ <br /> <br />$ <br /> <br />I :it. aJO .00 <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />YES <br /> <br />o NO <br /> <br /> <br />'.: :':';-H+H',.;-H i+i.;.i.;.,-:.;-;.i.: <br />........--........................- <br /> <br />;.i-;.U:~t~:-:.;.:;~.:-L:-;;.~;1.i:.i-; =- ~i.~ - .,i-,.;.!.;-l';'j:j:j:i:i:1' <br /> <br />.......................... ....,.,...:.............. <br />............................-...........--...... ...........-.........---.--..-...- <br />...... ..........................,. .................... <br /> <br />::.:.:.1,:':.:.:.:.'.:':.:".'.'.:-'.:.:':':":.'.:':_-_: <br />;.:.,.:.:.:.:.:.:.;~.:.::, <br /> <br />SIGNATURE <br /> <br />, c: L. STel C CoJ.YS f/l.Uc--n 0 <br />~~ COMPANY. _ <br />STATE CERT OR REGIST # c..b- eoa-a-/3....9 <br />CITY PROCESSING # ~~ <br /> <br />******** ************************************** <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />.~J <br /> <br />COMPANY <br />STATE CERT 0 REGIST # <br />CITY PROCESSING # l 7, 7-./" <br /> <br /> <br />ELECTRICIAN <br /> <br />*************************************************************** <br /> <br />PLUMBER ,/"~ ~~~ COMPANY C!/Iit:S /jAIl/( f/...{)'J1'lh/AJ~6 <br /> <br />/ <" STATE CERT OR REGIST # R...Foo Y-lSrf?' <br />SIGNATURE L- I, ..c..fi ,. CITY PROCESSING # /6 <br /> <br />*******************************************~********************* <br />MECHANICAL . COMPANY ;(5.q # R oS ~/ZC~ /.1 ;3."" t. (J 1/t' <br />~/ / // ./' STATE CERT OR REGIST,# C~C{) ysy V <br />SIGNATURE ~ '/ ~ ,,..( _ CITY PROCESSING # / 7 <br /> <br />**Jt:************************************************************ <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />. <,-..~ ~e;"o., ..... -'~ <br />