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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/(J-I-tJ :l <br />DATE RECEIVED <br />PLANS REVIEW FEE <br />--. <br /> <br />OWNER'S NAME M ELfiN IE <br /> <br />Ry81Cr..5 <br /> <br />PHONE <br /> <br />JOB ADDRESS 7 J- 0 j- tf~N(IC)i,i;:I'~' D I::" <br /> <br />~ <br /> <br />BLOCK <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION J)/.J'rtll f/u...",C-t; E~'rhll'" fliH'f.<;(,' ! <br /> <br />PARCEL ID # 3!J--;lr-.)j-(J{;>~-C)" 060C'0.0'160 <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />D SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />D RESTAURANT <br /> <br />DMULTI-FAMILY 0# OF UNITS D MOBILE HOME <br />o INDUSTRIAL ~IMMING POOL 0 ~THE~ / I If - 02- <br />& HEALTH DEPARTMENT APPROVAL 11 U ~ i . 1/ .-'Ii ( <br />~1i~/!J -!fP/ <br />rJ(jliflr;:t.I1'U .,WIMIII1Jrilf ,7';VL ~ <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DESCRIPTION OF WORK IrJ s;-rUA.. INL"ROf/.-!<In <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />'-1;d-- ~ - <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br /> <br />o BUILDING <br /> <br />$ r28; ~9q. {'J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY EUu!: Dol-PH)'" POOt0 <br />STATE CERT OR REGI ST # c? c O~ -& ? '{ S""" <br />CITY PROCESSING # ;:).10 ;$ <br /> <br />**************************************************~~~.' ~~ <br />~r'- / lGJ-a r ~, <br />COMPANY Bill. i OCr< r= j Fe.; / ,t#. __ ~.;/ <br /> <br />~ ~ ~~*~E P~~~~S~~N~E~IS~ t ,:: R - '~-~: '. ,=- h <br /> <br />'7 -+:. pO <br />*********************************************************** ******.~~ b'~ <br />()r-4v~-.dJi . ..'( <br />COMPANY R'-'A F ;)Ot.P/lIN POOi.. '.l ?"'1?~ "!. <br />STATE CERT OR REGIST # c.. p~ O~'6 7J/~- <br />CITY PROCESSING # 1.(/1 <br /> <br /> <br />ELECTRICIAN <br /> <br /> <br />SIGNA <br /> <br />***~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />SIGNATURE <br /> <br />* * * * * * * ~**.*~6*; i *f: ~~i ~;t:: ~* ** * * * * * * *;; * * * ** * ** * * * * * * * ~~ 7,~! d A) J ~n . <br />L- . a I L( M ,y I " r-- COMPANY '" '::l'f) - L . Q / (; )?-J) /) Vr- <br />~. STATE CERT OR REGIST # SCCO':J--<O ro ~,+. <br />CITY PROCESSING # JO'-j '1~9 <br />***************************************************************** <br />-1A> (W(' <br />(J1fl-t 0 ~ LJV- <br />ff\) . ~ <br />$Ur j-J c\ afl V <br />