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<br />~~1#:if <br />1(~:~ / . <br />OWNER'S NAME I-~ nd f' 11 ~ <br />JOB" 'ADDRESS <br />)r: \ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />If1 <br /> <br />lS.~ d-;;lS -()~ k:J- I <br /> <br />--- - ~. <br /> <br />DATE RECEXVED ~ ,- & -. '<<:J- <br />PLANS REVIEW FEE <br /> <br />LEGAL DESCRIPTION: LOT(S) SUBDIVI <br />PARCEL IDII ~Lr" ~$"'"- ? 1-()(X:JO""Cb300- COio (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br /> <br />5lo 7- 7CJ9 ?- <br /> <br />" <br />" <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />"... <br /> <br />o ADDI'l'ION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOL! SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />I. <br /> <br />l:itttiii.TI-FAMILY <br />o INDUS'l'RIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />,0 RESTAURANT & HEAL'l'U DEPAR'rMEN'r APPROVAL <br /> <br />DESCRIP'rION OF WO~K _B 4" I J Un i -t1lpa rfwl e.n+ t3~'~ \d jO ~ <br /> <br />BUI~DING SIZE /8-){" IC s- () SQUARE FOOTAGE . g 1'2" ~r HEIGBT 0) I · <br /> <br />, RESIDENTIAL: ATTACH (2) PLO'l' PLANS & (2) SETS OF BUILDING PLAN & (1) SE?rJiE R. FO~jo <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~ I (}--/ <br />PROPERTY SURVEY REQUIRED E~R ALL NEW CONSTRUCTION. ru . <br /> <br />rb"'/ <br />~ BUILDING $ <br />,..../ <br />Il::J ELECTRICAL <br /> <br />df;LUMBING ' <br /> <br />~ECIIANICAL $ <br /> <br />o GAS, ~FING 0 SPECIALTY <br /> <br />Ty~~,t~~:~~~~~RUCTION: ~OCK <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o ,WoR.E.C. <br /> <br />VALUA'l'ION OF MEClIANCIAL INSTALLATION <br /> <br />o o'rHER <br /> <br />o FIV\ME <br /> <br />o STEEL <br /> <br />o o'rHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJEC'r IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />BUILDER <br /> <br />......................*****.**.**..........**........*.....*...... <br /> <br />,',., l <br /> <br />COMPANY F,'ls-f C 145<:; f.."(~c:I< <br />. STATE CERT OR REGIST # Ct;:lQ ~'5'"? 0 <br />CITY PROCESSING ## I 4 It' p.u~ <br /> <br />.......................................:............}A~ ~ <br />' C~~Y~~~~~~ I~~ . <br />STATE CERT OR REGIST ## 9~ 7<6 c:; <br />CITY PROCESSING # J <br />. <br /> <br />ELECTRIC <br /> <br />PLUHBBR . {) <br />SIGNATURE \J.~ .J_ l,lJ~ <br /> <br />',,' -",.;.:, <br /> <br />.. <br />\ ,~. . I~ .,~.: t _-, " !':., <br /> <br /> <br />MECHANICAL ' <br /> <br />SIGNATURE <br /> <br />OTBBR ; <br /> <br />. ,; ql)". .', ~ .~f '. \ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />...........*........................................*...........* <br /> <br /> <br />I, "~~l # . ~..":. , <br /> <br />" ., <br /> <br />....... , <br />