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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~ - /1J- O~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Amo..... (0 ~ +CLI ",_J,/""" ~'-.- PHONE f: is - 7:?:;'" -o:r ~ <br />JOB ADDRESS LJ-~.;L LO-t--Ar e..l -Jo.....-~ IVLC ~ <br />LEGAL DESCRIPTION: LOT(S) =<~ BLOCK SUBDIVISION f)o.J:: L. <br />PARCEL ID # ~ 't- e!{p - JI - 0 100 - 0 O~&O - tJ.:'-,IQTATN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALT ERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK n ~ Sin ~ I-e- 1o-~-L '1'rWt:>.s.J-o r"( <br />BUILDING SIZE ~ tjl'-f' X <1" SQUARE FOOTAGE d(S"I.3. <br /> <br />, <br /> <br />r e ..( I cI ~ <!JL.., <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />1.:<.0. ()~D. DC> VALUATION OF TOTAL CONSTRUCTION <br />:< 00 AMP SERVICE ~LORIDA POWER D <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />::<S(!;>D..oD <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br /> <br />BUXWER ~._ :~~OMPANYRYMMl eON~TRYeTION, nle <br />~ TATE CERT OR REGIST # rBC 01513d <br />.I 11 <br />SIGNATURE t CITY PROCESSING # 274 <br /> <br />****************************************************************** <br /> <br />ELEC'l'1UCIl\N~~?rMPANY FZlST PASCO :E'L:E'CT1UC <br />SATE CERT OR REGIST # ER-0014591 <br />SIGNATURE CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />~~ COMPANY I)EWNIS WIl.l.IAWS <br />(""- ~~... ~ ~_ ~TATE CERT OR REGIST # RF-05260 <br />i _ __ ~... CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />!!fESICHANGNP\TU:ICALRE~ ~.. __ COMPANY 1=lZlT-iRS GZlC:: AND Zl/e <br />~ ~ __ STATE CERT OR REGIST # CAC-043498 <br />CITY PROCESSING # / j1 <br /> <br /> <br /> <br />=TU~~****:**~~ii~i~iis1~:i~~~;;;;*;;~~;*i*o~~~~e;,5 <br /> <br />PLUMBER. <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />