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<br />APPLICATIOU i'OR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUIlDING DEPARTMENT <br /> <br />(1 f,r;~)7 r '-, .L . <br />1~:3(J&~q~_~~:~'~~_~ _.~J <br /> <br />DATE RECEIVED <br />PLAA.~S REVIEW FEE <br /> <br />--::r \ '<Y'\ <br /> <br />'i ~ \ \ 'i--:- <br />G\ ~ h A \.J e.., <br /> <br />PHONE ~ 13 -l8~ - Sq '7S- <br /> <br />OVINER'S NAHE <br /> <br />.JOB ADDR~:SS <br /> <br />~q\~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID It J J.. <),LrJ.J __ o0(P6 '-ac b66 6 )...1 b <br />I). ":l--L..' J...\ 0 olo.3 ODCCO 0 ~DO <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />JiO INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FANILY DWELLING <br />o CONMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Ou. OF UNITS <br />~SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & I1EALTH DEPARTMENT APPROVAL <br />(f--"" ~ ( ()LVY\.cC S ~',,~ t'YI i ("'LC-. V OD~ <br />$" <br /> <br />BUILDING SIZg <br /> <br />SQUARE FOO'rAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALl" NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[1 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 HECHANICAL <br />0 GAS o BOOFING <br /> <br />$ <br /> <br />15/1e,5 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />Co <br />(~ ~ <br />~~ <br />, <br /> <br />~ ~ ~ <br />~~~ <br /> <br />$ <br /> <br />VALUATION OF HECHANCIAL INSTALLAT~O <br />o OTHER <br />o ("RAME 0 STEE:L 0 OTHER <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BI.OCK <br /> <br />E'INISHED FLOOR F.LEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />BUILDER <br />-- <br /> <br /> <br />[ - <br /> <br />'-,;-':!-;-i:i'o-;i-'-,-!-; <br />';'!"i:;:iili'iii <br /> <br />! iIUY!:\-i";:; 1 <br /> <br />ELECTRICIAl~ <br />SIGNATUHE. k"~~\r:J~' R.-a '~L <br /> <br />COMPANY FE'E. E..LE~ <- <br />STATE CERT OR REGIST # t::R.. p004<.a'-tO <br />CITY PROCESSING # lo<.,o <br /> <br />*********~k********k********************************************** <br /> <br />PLUMBER COMPANY K\c..h~Q.\L\ "()cqLQ.~'b"\d <br />- ~ / I (}t. If STATE CERT OR REGISY Q~ - (J)~t:2..S1 <br />SIGNATURE 'AtCl/l-Cef0 L.f~ JU/6f CITY PROCESSING # GtI1:1.."1 <br /> <br />. * * * * * * * * * * ** !o- ** * * * * * * * * -I< * * * * * *.Id * " ~.~~:;l..t!-}tf.:t* f'1lff*':zf-r: :/dt! * . ()6;;J..}>j5 ~ <br />MECHAl~ICA1. COMPANY ~ <br />STATE CERT OR REGrST U <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />**.A**********************k***********.************************** <br /> <br />r <br />OTHER._. COMPANY i . {uW..- "- A L':u....A .:-.-~ .~ <br />~ ___ STATE CERT On. RE 1ST U Rv..oo 3JJ..1 ' <br />SIGNATUR ......1. --- CITY FROCESSING II I (, 4Y <br /> <br />***************************************************************** <br />