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<br />APPLICATION FOR PERMIT <br />CIT~ OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />I rf" <br />~~~ 3.~7-t()~t5t- <br /> <br />,.-- _---.:.._--- <br /> <br /> <br />~;TE 'RECElVED :3 - ~'l-de::L <br />PLANS REVIEW I'Ii:B <br /> <br />OWNER' S Nl\M;--11~ ~~~ l_ eJ-t.-W\h6~ (ear W~'5h ) <br />JOB ADDRESS ~,5' 'I ~ (~'lL ( $1 LI~ <br /> <br />PHONE 77 '1- ~1 77 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />{ r -;{ b - :21- ~o 10 - O~'tt?- O;l..5(!) <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICF.l <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />~IGN <br />PROPOSED USE: OSGL F'l\MlLY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTEAA'l'I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Nj~ ~/p <br /> <br />s " '^' <br />SQUARE F'OOTAGE <br /> <br />BUILDING SIZE <br /> <br />'y <br /> <br />HEIGHT <br /> <br />..2C;-~" <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.'h <br />PROPERTY SURVEY REQUIRED FUR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$- <br /> <br />'" ___ tOt:' <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />r- <br /> <br />, \ <br />\) 'Cs 1/___('1C;(~ <br />. _ ~ c>'V f- <br />[ ~n:. \ <br />(U) <br />c ILflPf/iiJ1- I> \::)() <br />o ,.-,-; , ~. MJ7 l) <br />'1' ft1)Vi4./L il)~ <br /> <br />Fj ....r C '0 ,!lAl (l'I~D __ <br />Nt) ( T~- - o~'1JI11. i J <br />_ .\Jl'I'\ol~, <br />" 6c(brti~ (<; ) <br /> <br />SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. ~~ <br /> <br />S'/g <br /> <br />15~ ~''l! <br />c e.l/ <br />a1s ;f61 <br /> <br />VA LUA'!' ION OF MECIIANCIAL INSTALLATION <br /> <br />)TIIER <br /> <br />R-/1 <br /> <br />HJ\ME <br /> <br />o STEEL' <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />!!g <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING fi <br /> <br />SIGI <br /> <br />****************************************************************** <br /> <br />ELli:CTRICJ:AN <br /> <br />COMPANY <br />STATE CERT OR REGIST fi <br />CITY PROCESSING n <br /> <br />SIGNATURE <br /> <br />****************************************************************.. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />***....***~**************************.****.**********.****.******* <br /> <br />COMPANY <br />STATE CERT OR REGIST n <br />CITY PROCESSING n <br /> <br />SIGNATURE <br /> <br />OTHBR ~~ <br />SIGNATURE ..' ./ . <br /> <br />***************************************************************** <br /> <br />*********************.**.**..**......****************.*.***.....* <br /> <br />COMPANY ,y"II..JA T!4Wt't. s/'~ ~. \ <br />STATE CERT OR REGIST n' SI ' '1 J f1 L 71t$(J~ <br />CITY PROCESSING # :lS"S I <br /> <br />-. <br />. <br />