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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ IO-(-~Z~J <br />". . Cf-19- tl ~ <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME --.N ~ ?~O IP-~ N PHONE <br />JOB ADDRESS Lc"",",,4-, 8~~o LQQQ I ~j)ij't~\lLS \ h. <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK SUBDIVISION <br /> <br />~\3/11S - 165<0 <br /> <br />I <br /> <br />~i-~~ <br /> <br />PARCEL ID # ~ - 2.5 - 2.\ - a \CXJ-au:m- ()c)/..K) <br /> <br />(OBTATN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK """E,\ui-O t-\sw &~i\-~ SI~(,L.t. ~ \1.1 ~~ <br />BUILDING SIZE .52 x!:() SQUARE FOOTAGE 2\2.0 <br /> <br />I <br />HEIGHT B WN-L- \-\-'t.\lul\;"\: <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 />~ BUILDING <br />.~ ELECTRICAL <br />'l)t PLUMBING <br />iiZ( MECHANICAL <br />o GAS 'Jj&ROOFING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />Bs. ():)O ,00 VALUATION OF TOTAL CONSTRUCTION <br />2.eo <br /> <br />AMP SERVICE <br /> <br />~" FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ 2\.sco~ct:) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:)( BLOCK 0 FRAME <br />it <br />FINISHED FLOOR ELEVATIONS 8 ~~~ ~N. <br /><:l r- lL~"{) <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />]i(' NO <br /> <br /> <br />BUILDER <br /> <br />SIGNAT <br /> <br />COMPANYRYMAN CONaTRUCTION, HIC <br />STATE CERT OR REGIST # ('Bf"'-O,513Ll <br />CITY PROCESSING # 274 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE 7~ ~M~/ <br /> <br />COMPANY E~ST PASCO ELECTRIC <br />STATE CERT OR REGIST # ER-0014591 <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE~~ <br /> <br />COMPANY DENNI S WILLIAMS <br />STATE CERT OR REGIST # RF-05260 <br />CITY PROCESSING # <br /> <br />WE~ <br />SIGNAT' ~ <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />COMPANY: "R~H~S r-~s ~r-TD 'AIc <br />STATE CERT OR REGIST # CAC-043498 <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER COMPANY RYMAN r.ONS'1'RTTr.'1'TON. TNr.. <br />~ STATE CERT OR REGIST # RC-0061648 <br />SIGNA -- ' CITY PROCESSING # <br /> <br />- . - -:**************************************************************** <br />