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<br />~\\\6~'~*~ <br />'u.nf+ ( <br /> <br />O~N.~R'S NAME t~a. nci ,'rt'J <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.c/2. -k:- 012- <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />...... <br /> <br />, ,-' ,/",. :.... ... '~.:' . : <br />JOB~ADDRESS <br />.:. . ~- ~ ' ..' " <br /> <br />p, p:i rlY\tlf rrl-5 r tV' I <br /> <br />PHONE 5lo 7- 7~9 .")- <br /> <br />, . <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PAR~EL iDII ":34,95"'"- ?/-(X:.X:JO-t.:b300-'l:X::8o (OBTAIN FROM PROPERTY TAX NOTTeF-) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />.'... <br /> <br />o ADOn'ION <br /> <br />o ALTERATION <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 />.1, <br /> <br />llttrG'i.TI-FAMILY <br />o INDUS'!'RIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />. D RESTAURANT <br />VESCRIP'.l'ION OF WORK Bl...,f " t J <br />-;~>( JUy 50 <br />BUILDING SIZE . - L <br />. ;.;..,,). . <br /> <br />& HEAL'fH DEPAR'fMEN'r APPROVAL <br /> <br /> <br />SQUARE <br /> <br />HEIGHT <br /> <br />0)/ · <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED E'OR ALL NEW CONSTRUC'fION. <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 />VALUA'l'ION OF MECII1\NCIAL INSTALLATION <br /> <br />o O'fIlER <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 />II <br /> <br />COMPANY O~ V ~ I ~ IY\ e.nf' <br />STA'!'E CERT OR REGIST 1# (1 f:5 c.... C> '1~ l' <br />CITY PROCESSIN~ 1# <br /> <br />***************.*.*.*......*******.***************** <br /> <br />.';\.1 <br /> <br />COMPANY r,'tS-1- Cleo) j( (~d< <br />STATE CERT OR REGIST 1# (:xx:> ~~'? 0 <br />CITY PROCESSING 1# I '-I tt:J <br /> <br />J1:LBCTRIC <br /> <br />. I <br /> <br /> <br />PLUHUR ll*****.*** J......:................=::J:;;;=:..i~YJ~ f1J- <br /> <br />. , . ,on' STATE CERT OR REGIST # '!z.~ 7'i 5: <br />SIGNATURE . . ~ ~ ""' lJJr<..X..J(JL~ CITY PROCESSING # ) <br /> <br />.,,:' ~.'!. :. ", . <br /> <br />., *.*********.*.********.****..*******.**.**..*~*** ..****** * .*. '_L <br />NJl:CRARlCAL COMPANY ,t: '>>'\ rr <br />, ! ,.j' STATE CERT OR REGIST 1# ,... rr ro I.SO OJ . <br />SIGNATURE ~CITY PROCESSING' # . ~11 so ~'?&; ~ <br /> <br /> <br />***************.*****************************.***** <br /> <br />l,~ t t~ ..~ .: J :~_ -~".; L" , <br />OTIID.:. <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br />. ,;~-:~I)t~,,,,:, '.1,~ \lC'.\,' <br /> <br />..**.***~*****...***.*........*.*.......*.*.*.****.************** <br /> <br />I, 'l:":'!"! . '~ :-: ',' . ...,' ,. <br /> <br />. . <br /> <br />",.'"".,,' <br /> <br />'-' " '~;. . <br />,. . '.~~.~ , <br /> <br />''';, <br />.~' <br />\': <br />