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<br />L&l~ ~~lI:i <br /> <br />/ /V'~tV~1 <br /> <br />OWNER'S, N!\ME . L-a. (lei f' fl. <br />',;..'. <br /> <br />APPLICATION FOR PERMIT <br />CITY or ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED / IJ - c:2 Y - 0 I <br />PLANS REVIEW rEE <br /> <br />, -' <br /> <br /> <br />PHONE Slr; 7-'7~9~- <br /> <br />,,'- ~p'.,..... '~'~I:, ~. <br />JO,B,JU>~~S~ <br />.\.. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />)AR~EL. ~DII "'?:>4, ~S-- ?/-CXX:JO-t.::t)'300~'~O (OBTAIN FROM PROPERTY T~ NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />.....i. <br /> <br />o AUDI'l'ION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />, ~, <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o MOVE 0 DEMOLISH <br />Otttli'i.TI-FAMILY 0# OF UNITS <br /> <br />.1,_ <br /> <br />D COMMERCIAL <br /> <br />o INDUS;l'RIAL <br /> <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />. 0 RESTAURANT & HEAL'fU DEPAR'fMEN'f APPROVAL <br />'0'" ,J_' <br /> <br />DESCRIPTIONOFWO~K Bu,')J !."()('~ ~'p1{itvi~(1+ ~V\k.~;'liKCt <br />(Y lrr Q 0)/' <br />BU~~~IN~ SIZE . .,! ()- 0 ,^'. 5tJ. SQUARE FOOTAGE ./00 ~ /1- HEIGHT__ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />COMMERCIAL: ATTACH (3 ) SETS OF BUILDING. PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED E'OR ALL NEW CONSTRUCTION. <br /> <br />. , <br /> <br />'. <br /> <br />~ILDING <br />~LECTRICAL <br />~LUMBING . <br />~CJIANICAL $ <br />D GAS'. .! ~FING D SPECIALTY <br />Ty~~t:'~F~'~~~~;~UCTION: ~O~K . <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o . W.R.E.C. <br /> <br />. . <br /> <br />VALUATION OF MECIIJ\NCIAL INSTALlATION <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 PRO.:JECT IN FLOOD ZONE AREAD YES ~. <br /> <br />',l.r" <br /> <br /> <br />,II I rill, ...:1' h p:;..:! i. 'CO}.tnm~J:t. .' R~raEC' . .1 1 <br />HI. h ;;~U'!'.lfli:lr!IAi".I,;.:;i.!:t.,.,'.".~~>.",;, "."..~...., '_ !, . . <br /> <br />BUX.LD,...ER.~ Lj r:L COMPANY 50lnoty O~v~/~fY\e.n.+ <br />J STA'l'E CERT OR REGIST # (} f5 c.... C> '1~ ? <br />SIGllATUR . ~ _. ' CITY PROCESSIN~ ~ <br /> <br />..............................****.*...*....***...**..****.*.***.. <br /> <br /> <br />k <br /> <br /> <br />\ " <br /> <br /> <br />. ': ~ 1 ; t <br /> <br />COMPANY F,'/S.f Cleo,) f: (~d~ <br /> <br />STATE CERT OR REGIST f# txx:> ~~ 0 <br />CITY PROCESSING f# I 4 tt' <br /> <br />BL&CTIUC <br /> <br />"~.. *. * * *::.. .. * *.. *... * *. *... * * *... *. *~.. * * * * ** ** * .~ ~ <br /> <br /> <br />PLUMB&R 'COMPANYJy,cv1.~ 1 ~J) , <br />\;). . \ j ~ STATE CERT OR REGIST It ~?iJJ 7<i F; . <br />SIGNATURE .0.._____.- . . CITY PROCESSING # J <br />. I w <br /> <br />..':'k~;.'r~ '~'. '"j,: <br /> <br />'., . . <br /> <br />, '~ " ~J I <br /> <br /> <br />MBCIIARICAL . <br /> <br />SIGNATURE <br /> <br />':'6~~.\.;L' t.!".;,>, <br />OT-.;. <br /> <br />.***.***.......**.*.*......*..*****.********.******** <br /> <br />. H ql)J~'~'~ ",l i \.1(";" <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.t************..****.***..****.**.***.*..***.*.*.*......*....*.** <br />;.(' <br /> <br />. .____4..~....-..... ...."..~. <br />. 1,'b'~.2'\ !~IS~'.1. '. . .~.. ..,; t . <br /> <br />" (., <br /> <br />. 'j , .. ~.' ." ' ~ <br /> <br />;~(,d~: " <br />':"~~' <br />