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<br />I IJlI" <br />.Ii. -;er~'. 1.~vJ jj,P <br />J. , tjI <br />4b~f <br /> <br />~ER' S NAME T Q W 1\ V; ~ w M~d I r:c< LB.i:.-t.s c:;:: (l tfc <br />:;2 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~-i-o I <br />DATE RECEIVED - - <br />PLANS REVIEW FEE . <br /> <br /> <br />JOB ADDRESS <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID II 7/-1-;;; s:-? 'r- CIJ 00,. OD ~- ()()J:? l..{ <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />"1' <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDI'l'ION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />, ;, <br /> <br />DMULTI-FAMILY <br />o INDUS'fRIAL <br /> <br />Off OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE '~6 Y / '3::J <br /> <br /> <br />HEIGHT <br /> <br />:::2 4' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED F~R ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />.,.. -. <br />FORMS. t",1), <br />cJ ()/f<-- 7- r j) "~(;Gif> <br /> <br />PERMITS REQUESTED <br /> <br />Er'B~IILDING <br />~ECTRICAL <br />UJ.1LUMBING <br />~ECIIANICAL $ <br />D GAS '~FING D SPECIALTY <br />TY~~: OF ~O~S;RUCTION: Er'B"LOCK <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUA'l'ION OF MECIIJ\NCIAL INSTALLATION <br /> <br />D O'fHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o O'fHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />......................*..*.***..*.........**...................... <br /> <br />SIGNATURE <br /> <br />~--UL- Jtt-~ <br /> <br />COMPANY H (s.{ 0 \Q$.S ~/~('+, <br />STATE CERT OR REGIST II mn r9 r;:7() <br />CITY PROCESSING II Ill! () <br /> <br />ELECTRICIAN <br /> <br />PLUHBBI\ <br /> <br />....................................*................:...~..~~.A.l . nA I <br /> <br /> <br />COMPANY~ l~ ~ <br />.iL- JJ STATE CERT OR REGIST # txJ97 ~ <br />~ ~ CITY PROCESSING 1# /99-f) <br /> <br />SIGNATURE <br /> <br />" <br /> <br />SIGNATURE <br /> <br />......... "'I.. ................................... ....... ... <br />COMPANY: <br />STATE CERT OR REGIST..t <br />CITY PROCESSING # . <br /> <br />.~. . ~J!1;zj <br /> <br /> <br />MBCBMICAL <br /> <br />...............................*................................. <br /> <br />~ t t~ ~ J ~ .! I <br /> <br />OTIIBR <br /> <br />~_i q:,,,,: ' r., a ,.~' <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />................................................................. <br /> <br />'\ <br /> <br />) <br />