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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1- ):&';()1J- <br />DATE RECEIVED ~~ <br />PLANS RE\r.[EW i'BE <br /> <br />OWNER'S NAME <br /> <br />('~ Of.rz E:r A F M...I (..\1 ePIC>( A alE. <br />l-tu.N 301 62Jf6 <br /> <br />'-R.uSr <br />GaRl &4. I <br /> <br />PHONE <br /> <br />ig2. j1\frf.v <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />03 - J {.,...-.;l('-OOl 0"-' oq C, 00, roo 3 0 <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 ## <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF.1 <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALT ERAT I ON <br />o DEMOLI SH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oil OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~jOOO <br /> <br /> <br />SQUARE <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & LDING PLANS & (1) SET ENER <br />ATTACH (3) SETS OF BUILDING PLANS & (1) S "EN~'-Fe-RMS-~------ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. '~~ <br /> <br /> <br />d;:t; t4!1If~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION ,q 1 <br />D W.R.E.C. <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />3{PQ 000 .00 <br /> <br />ovBUILDING <br /> <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />l:iVPLUMBING <br /> <br /> <br />.. <br /> <br />10,000.00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: i;l BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />SIGNATURE <br /> <br />.... 'CONrmi~'fC'.1'O""'R?~sifC'~T:.....^~t":''.::'"'''' ',,"", '" "'.i'.,.." ,'''''''',,,,, ;:',.;". "'Ii",.,.;: <br />-', , ""~~"""..' :. .,.::.:!\; "' "'"~~''' ; , i-i;". ." <br /> <br />COMPANY C.l. srevE. Lo,0SI. <br />~~. STATE CERT OR REGIST II ('8-('02.."1.--(39 <br />II 1I..o..c <br />CITY PROCESSING ~ ~ <br /> <br />, <br /> <br />BUILDER <br /> <br />"!!..** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** ** * <br />".... <br />// <br /> <br /> <br />ELE <br /> <br />-~- <br /> <br />.... " _ T <br /> <br />COMPANY. _' . <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />% "COMPANY <br />/7 .::-"* j' 0 J~ STATE CERT OR REGI ST <br />~~ CITY PROCESSING ## <br />~_. <br />.--/' * * * * * * * * * **.* * * * * * * * ** * * * * * * * * * ** * * * * * * * * * * * *--1< * * y* * ***'*** *** * * * * * * * <br />COMPANY C. "1-C &) Y;7~ Y B <br /> <br />~ / j' 4- / STATE CERT OR REGIST ## <:::. AC 0';;$." y,g <br />~ L ~ CITY PROCESSING ## / 7 <br />"- ,/ <br />- ***************************************************************** <br /> <br /> <br />SIGNATURE <br /> <br /> <br />lER <br /> <br />TATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />*****.*.******...*****.....***......*..*..*....*.*.*.*.........** <br />