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<br />, 1 <br /> <br />(;~( (JI/ <br />I/Sl/0 I <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED III~' 0 I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME .J'P\TQj,~ "~C\'U::~L.. M. ~LL~~~~ <br />JOB ADDRESS \M~*,.n-t~ :bCU'lk... ~ z.~..D~04-"L-LS \ '\:i.... <br />LEGAL DESCRIPTION: LOTJ..81 \ \ BLOCK ~ <br />PARCEL ID # _\~-2to-2.' - ~- (X)qao -~\\O <br /> <br />PHONE ~'S - 1'~19 <br />S}~2 <br /> <br />SUBDIVISION2~~,,~l-\~~ ~QS;r- ~ <br />(OBTATN FROM PROPERTY TAX NOTTC;) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:)(SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~~&~ ~~ SIl'\6Q ~~Cbf ,,~}r<~~ ~l~ ~~~ <br />BUILDING SIZE ~ ")C 4{ 4" SQUARE FOOTAGE -1-4-\<0 ~ HEIGHT <br /> <br />~/\tJ~ <br /> <br />"" <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 /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <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: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br />SIGNATU~~ <br /> <br />-- <br />"" <br /> <br />COMPANYRYH.\N CONaTRUCTION, HIC <br />STATE CERT OR REGIST # f'BC-O '3 51 '34 <br />CITY PROCESSING # 274 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE 9~ 4~ / <br /> <br />COMPANY E~ST FA SCO ELECTRIC <br />STATE CERT OR REGIST # ER-0014591 <br />CITY PROCESSING # 621 SI/ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ <br />SIGNATURE <t::Jo....-.._ .., <br /> <br />COMPANY DENNIS WILl.I~MS <br />STATE CERT OR REGIST # RF-05260 <br />CITY PROCESSING # /9~v <br /> <br />MECBAmCAL ~ <br />~:' -? <br /> <br />***********.******************************************************* <br />COMPANY RnHR~ Gn~ nNn ~/C <br />STATE CERT OR REGIST # CAC-043498 <br />CITY PROCESSING # /7 <br /> <br />***************************************************************** <br /> <br />OTHll:R <br />SIGN~E J, ~ <br />c .- <br />,,-~ <br /> <br />COMPANY RYMAN CONSTRUCTTON. TNC_ <br />STATE CERT OR REGIST # RC-0061648 <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />