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<br />'fu~H\\~ '1 <br />. .U y\\'-\- to <br />O~N.~R'S NAME t-a, I1.d /'n'l <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW I'EE <br /> <br />~.:t.-o~ <br /> <br />" '. ~.~.... ~~~.. .', '~':' . . <br />JOP't,AD~~S~ <br />'\. <br /> <br />,t}/::QMiV1e rJ-t5 r(l( I <br /> <br />PHONE 5"'10 7-'" -;; <79 'J <br /> <br />, . <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PAR~EL ID# ,: -::34, f)~ -, ? J-OCX:JO-t.:b300"Ct::flc}) 'OBTAIN FROM PROPERTY TAX NOTICF.l <br />WORK PROPSED: ~ CONSTRUCTION <br />"'of <br /> <br />, ~, <br /> <br />OSIGN <br /> <br />o ADDI'l'ION OALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />~TI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUS'l'RIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />I ~ <br /> <br />, 0 RESTAURANT & HEAL'fH DEPAR'fMEN'f APPROVAL <br /> <br />DESCRIPTION OF WORK ~2;:I'JJ tJoi+ ~~~+ ~ <br />BUI~.ING SIZE f? ~ 0 tXG () SQUARE FOOTAGE{)6 ~#. HE;GHT <br /> <br />0)/ ' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (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 />I3~ILDING <br />~LECTRICAL <br />dil;LUMBING . <br />~CJlANlCAL .$ <br />o GAS '~FING 0 SPECIALTY <br />TY~~(':~~':~~~~;~UCTION: ~OCK <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~FLORIDA POWER 0 W.R.E.C. <br /> <br />," <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />o o'rnER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o O'fHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />BUILDBa <br /> <br />SIGNATURE <br /> <br />......................**..................*..*...*.......*..*..... <br /> <br />'<\.1 <br /> <br />COMPANY F, 'IS-+- C !qS<; f: (ed< <br /> <br />STATE CERT OR REGIST f# ceo ~~"7 0 <br />CITY PROCESSING 1# I 'f /t::J <br /> <br />*...~...~****.*******.....................:...........~ f) A <br /> <br /> <br />PLUHBBR .~ ' . -. j.. ~~ COMPANY~~# I~~~~ <br />. lJ STATE CERT OR REGIST ___ <br />SIGNATURE . ~ . . CITY PROCESSING 1# } <br />.,,': '~.'1. .:' ", <br />'. ............................................*P... ........ .-.. r+ <br />la:CllMICAL . COMPANY.'" (' rn <br />! . '/ STATE CERT OR REGIST f# f".' jy ro '~jO ;) <br />SIGNATURE CITY PROCESSING # '~11S-0 e',?d1 ~ <br /> <br />",~ t I~ ..~.: .1..'_ '~ !.J '.' <br /> <br /> <br />.........*....................................*..... <br /> <br />0'lJIBa1 COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />. ,; ~1)1~ .::. ') J.~!(;'.' <br />~..~~.....*.*.....*..*......................*.*.*..*.**...****... <br /> <br />",! -: ".: ;~,i _~,; <br /> <br />j"'\~f\l' r ,;:rot ": ''';'," <br /> <br />. <br />... '"; <br /> <br />'.. '...~ '-, ' . <br /> <br /> <br />t'; <br />