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<br />BQ~# <br />1i,~~~ 7 <br />:::::~ l--4I1d,'t1~ ~~a:er:J PHONE 5/q 7-799 "J_ <br /> <br />., LEGAL DESCRIPTION' LOT (S) BLOCK ~UBDIVISION <br />PAR~EL IDH " 734,.. 95"""- ? 1-()cx;;O-t.::l.f300-'cs:Ko (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAIlTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />d-!.-:"O:::L. <br /> <br />" , <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />,..t.: <br /> <br />o ADDI'l'ION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />I; <br /> <br />OtttGLTI-FAMILY <br />o INDUS'l'RIAL <br /> <br />On OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />0)/ ' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING & (1) SET ENER~Y FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FUR ALL NEW CONSTRUCTION. <br /> <br />',' <br /> <br />~"ILDING <br />~LECTRICAL <br />~LUMBING . <br />~CIIANIC1\L $ <br />o GAS', ~FING 0 SPECIALTY <br />TY~~~':~~':~~~~;~UCTION: ~OCK <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 />VALUA'l'ION OF MECIIANCIAL INSTALLATION <br /> <br />o O'fHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o O'rHER <br /> <br />FINISHED;FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />BUILDBR <br /> <br />~f. <br /> <br />COMPANY Sex n.e>l Lj O~ V ~ 19jf, IY\ e.n.t. <br />STA'l'E CERT OR REGI'ST # (1 6 c.. .. () 'I",;) ? <br />CITY PROCESSIN~ # <br /> <br />. ' ~ \ . ' <br /> <br />COMPANY r,OtS..(- CICtS~ f: led~. <br />STATE CERT OR REGIST # ~ ~'S"7 0 <br />CITY PROCESSING # I '11t:J <br /> <br />SIGNATURE <br /> <br />, \ '. -,.,I' <br /> <br />,..~..........." .... ".. * *. *. * *. ** *... *...:.*...*.*...~ rJ1 A <br /> <br />~ --. __ COMPANYj'1Jcy'L~ I~-J _ ~ <br />~ I ~v,Jll<-<-o,' ~i~~Ep;~~~S~~N~:Isn J~o;;/'i 5. <br /> <br />. I . <br /> <br />........*.*..*~*.*****.***.****.*...**..***.*~*** ...*.... .'-.L <br />COMPANY: '" . (. rn rr <br />STATE CERT OR REGIST # ~ 'y ro l:50 ;J <br />CITY PROCESSING # . .t;11 SO '7& ~ <br /> <br /> <br /> <br />PLUHBBR <br /> <br />SIGNATURE <br /> <br />....: "!!<.:. <br /> <br />MBCIIARICAL <br /> <br />SIGNATURE <br /> <br />......*..***..*.***...*..........*.....*..*.*......*. <br /> <br />\~ tl~ ..~ .:..1'" ~ d .:~~..' <br /> <br />~.) <br /> <br />'Octl),~,.':.', l "~~"" <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />........*....****"**""."".""""*"****".,,*,,,,,,,,*************,,******. <br /> <br />. -;~..~. ....-:-.- --',;;~'~~' , .. <br />, I. ""1n",: .~,-:. " <br /> <br />.'..'...-....,' <br /> <br />~," <br />','-'- <br />,. <br /> <br />{"': <br />