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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />"lkJ..J.015 A . <br />3g(P4-~ <br /> <br />$ &:JtJITtI.' S. T( L TaD PHONE <br />PI <2t> f\.CO,u-r AI ZEfWvl2-~{ Lt....S c:..<.... <br /> <br />OWNER'S NAME <br /> <br />339-1-a. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~;2. <br />~ - ::lS -;' 011 - 009'0- 00000 -. O~).o <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />~ ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />D INSTALL <br /> <br />[JMULTI - FAMI L Y <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />A-Dbl nou <br /> <br />ere:. I S; I 'f.. o.l 3,1 'P, L.O(JL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />i==A f'I.A U( I2-ot:> M- E \;> et eo v ,...c <br />3cj5 ,. <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~. .~?- <br />./ 1~;)- ~. ~7 tJ 7- <br />VALUATION OF TOTAL CONSTRUCTION ~l// <br />o W.R.E.C. !D9-{) <br /> <br />J <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />12l BUILDING <br />I2S ELECTRICAL <br /> <br />$ ;)O,S{)O.oo <br /> <br />AMP SERVICE <br /> <br />[J PLUMBING <br />IJZl MECHANICAL <br /> <br />. <br /> <br />,$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />D ROOFING <br /> <br />[J SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 1;21( BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />SIGNATURE <br /> <br /> <br />'C6N~cro~lsEc'iION;": '. ........ ...... .. .. <br />, ' : . . . . . ,'" : ,'." ., : ..: . '. .~.' - ., '; .. . . '., " -: ~. -~'..;', .>..: <br /> <br />COMPANY G.l. 'STEVe;:.. Q.o.v~I. <br />STATE CERT OR REGIST # ~ - o~~ I-=?,q <br />CITY PROCESSING # ~ ~ . <br />'...../)h~ tvt.t- .ufiM-?6-t.. cWli:. 9- o1.-o,.jl~ <br />*********************..*.**.***~(~****.*.~***.********* ~ <br /> <br />. ;"f i :: ~:: ";'::! ;.iJV:!: <br /> <br />.i!:;,::l <br /> <br />BUI:LDER <br /> <br />PLUHBER <br /> <br /> <br />COMPANY: -z." l-\. H...l... ~ ~UFC:. 'l' . <br />STATE CERT OR REGIST # ~Oo A I ~ J- <br />CITY PROCESSING # /2 &- <br />j", <br /> <br />ELECTlUCI:AN <br />SIGNATURE ~~ ~ C ~ ~ <br /> <br />****************************** <br /> <br />SIGNATURE <br /> <br />· * * * * * * * ***.* * * *. **... * *. *.. * *. *. *. **. *. * *. *1J**** * ** * * * ** * ** ** ***** <br />MECHANI:CAL COMPANY PAil ~ ':s ~1t."1''''~ a A (" L. {.A: ~~ <br /> <br />~ . J /J..I STATE CERT OR REGIST # C.4L~~:7?Y.r <br />SIGNATURE ~~ ~~ CITY PROCESSING ~'Ib/ 7 <br />tf/ v?Jr- . <br />*..*...........................................**.***********.*** <br /> <br />OTHER, <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.........*......................................*......*.......*. <br />