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<br />'~~" ...}},./.;...." <br /> <br />APPLICATION FOR PERMIT <br />CITY 01' ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />I ~ <br /> <br />DATE RECEIVED, ,7-j5-a/;z <br />PLANS REVIEW '1'EJl:' ", <br /> <br />-- <br />OWNER'S NAME -Lrk- fAG u.J (h <0 ""'" a.--S' <br /> <br />JOB ADDRESS 3Q&o.3 ~ OlhJ~..v <br /> <br />'";\ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #0~;:;-J...5-JI- OOS;i..f.-e;oooo- (SOO <br /> <br />': ''': <br />(OBTAIN FROM PROPERT~'TAX N~~~CE) <br /> <br /> [JNEW CONSTRUCTION [J ADDITION [J ALTERATI ON [J REPAIR 181' INSTAl.~ ~ ~ <br />WORK PROPSED: <br /> [J SIGN [J MOVE [J DEMOLISH <br /> , (J M~B~LE <br />PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI - FAMIL Y [J# OF UNITS HOME <br /> [J COMMERCIAL [J INDUSTRIAL 1&1 SWIMMING POOL [J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORKJ'~J--j -'/J!-U..-f~ ~ <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />PERMITS REQUESTED <br /> <br />.eJ '10 '" <br /> <br />ENERGY J!'O~;/ <br />1'0'6 <br />16. j', <br /> <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br /> <br />$ ~/JS11J. 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />[J W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />i{' <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />US! OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br />, j; <br /> <br />..! <br /> <br /> <br />SIGNATURE <br /> <br /> <br />'1 <br /> <br />.. :t:".":f:W:H: <br /> <br />COMPANY~ ~ <br />STATE CERT OR REGIST # /' <br />CITY PROCESSING # .;; q (p Ip <br /> <br />BUILDER <br /> <br />** * ** ** * * *** ** * ** * *** ** * * * ** * * *** * * ** *** **** *** ** *************~.**>\' <br /> <br />,!, ri 'fl' , <br /> <br />- ~ ~ ~ !' ~ '1.r t <br /> <br />ELB:CTRJ:CIAN <br />~~ <br />SIGNATURE b <br /> <br />~. <br /> <br />~ <br /> <br />PLUMBER <br /> <br /> <br />**********************************:::::::~::;;~*~~~~~~') <br /> <br />STATE CERT OR REGIST # R tJo3~d.5 7 <br />CITY PROCESSING # -l '" t; s- . '. - <br /> <br />SIGNATURE <br /> <br />********************************************** <br /> <br />-;" ~; <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />'"" (~.,'., '{ i <br /> <br />d, <br /> <br />SIGNATURE <br /> <br />,." I <br /> <br />SIGNATURE <br /> <br />~L::::*****************::~:~;**~~**~****' <br /> <br />STATE CERT OR REGIST i# C:V$.J.1,IY <br />- CITY PROCESSING # /6 ~yv <br /> <br />*******************************...******************************* <br /> <br />OTHER <br /> <br />., <br />