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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. (!!leu! /~-: - (}~U: <br /> <br />DATE RECE~:;l ;t - () .2.. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME_"'12.."j1-I\-~t-! GNSIiL~c.\\aN PHONE "782-0825 <br />' ;3?.s- .2.. I/. <br />JOB ADDRESS l-O\ Ii+-. ~\ fr~'/...-1OC\{ :Dfl.I'-l~ 2..tt . <br />I <br /> <br />LEGAL DESCRIPTION: LOT(S) l4- BLOCK SUBDIVISION ~~~~ <br />PARCEL ID # 34-2.5' -21- Ot~Cj-~ - 0140 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALT ERAT I ON o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL D OTHER <br /> <br />~.' <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~W ~51O'tr(<:'L <br />BUILDING SIZE 2.1 x!:34> SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />/ <br />b Wt\l-\...'S. <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 />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />2. &Ja .Q:J <br />o SPECIALTY 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />OTHER <br /> <br />TYPE OF CONSTRUCTION: ';i BLOCK 0 FRAME <br />O=- I <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />)'CNO <br /> <br /> <br />BUILDER <br /> <br />SIGNATU <br /> <br />COMPANYRYMAN CONaTRUCTION, nIC <br />STATE CERT OR REGIST # C''6C'-03t:\) 3.:1 <br />CITY PROCESSING # 274 <br /> <br />************************************************************* <br /> <br />ELECTlUCIAN <br />SIGNATURE q(j~ ~~ <br /> <br />COMPANY EAST PASCO ELECTRIC <br />STATE CERT OR REGIST # ER-OO 14591 <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER. <br />SIGNATURE~ \.\.)~~ <br /> <br />COMPANY DENNIS WI~~I~WS <br />STATE CERT OR REGIST # RF-05260 <br />CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />~ <br />SIGN.' .~ ~~ <br /> <br />COMPANY. 1=\ 2\ l-f'R S G 2\ S 2\ N1) 2\;1 (" <br />STATE CERT OR REGIST # CAC-043498 <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER~~~--- ~~~~~~E;;~~N~G~~;T:~~~~g~i6~~C. <br />SIG CITY PROCESSING # <br />................................................... <br />