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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /0- 2-D~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME P ~T E R.. / Y V fJrJ tV t <br />f <br />JOB ADDRESS S 11'8 tJ G P-1...L- <br /> <br />LeE <br />fS(vD <br /> <br />PHONE If? I 3 <br /> <br />?RI? 'tS2b <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # II c1C d-../ 00 J 0 0"7000 <br /> <br />00/3 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION "'B ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />'El COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK R (<;7 A(/~II/I/-r <br />BUILDING SIZE 8- 'I X!; (' 4 I) <br /> <br />A no i TI or/ <br /> <br />~ <br /> <br />o MOBILE HOME <br />o OTHER <br />JJ --0 -z.-- <br />10//1 <br />/Cl9 <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />/;J.:J;).. <br /> <br />n'D/' $. <br />HEIGHT <5" 0 fl.J" of CI..O<.... <br />. ' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />\ <br /> <br />BUILDING <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~S. ~ <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~ ,;~o IA7A~~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~.~77 <br /> <br /> <br />PERMITS REQUESTED ~~d. jJ.O ~ <br /> <br />,;,0 _ - <br />VALUATION OF TOTAL CONSTRUC ON <br /> <br />$ So <br />I <br /> <br />000' <br /> <br />"El ELECTRICAL <br />'n PLUMBING <br />''LJ MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o ~.Ritc~ 'P <br />c ~I- U ;-_... <br />o O:::ATION OF MECHANCIAL INST~~~~?,~ <br />I~ :::::CT INO F:::L~s--rf;;.. <br /> <br />ls:J <br /> <br />FLORIDA POWER <br /> <br /> <br />$ 3300'0<> <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~ BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER . COMPANY ~ ~ (rr'l LVv1 (' Jh\.~c:i-J IJ"M 1 ) n(!. . <br />~ STATE CERT OR REGIs~t6{' O.;;~):'5/~C/ <br />SIGNATURE.----::2 --:; CITY PROCESSING # Y <br /> <br />*********************************************************~ <br /> <br />COMPANY. ~.f:#k~ <br /> <br />STATE RT OR EGI ST # ' <br />CIT PROCESSING # /~bl- <br /> <br />********************************* * *b~*~A?~*~f:*~~~~ <br /> <br />C~MP ANY t i/ / l (. I jLIv\S P t. l/ /'1 131 N '-' <br /> <br />STATE CERT OR REGIST #/D AO <br />CITY PROCESSING # /' _"L"'_ <br />V <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE &~ ~Am <br /> <br /> <br />PLUMBER <br />SIGNATURE :/)~ ?/:?"'fl ~~ <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />* ********************************************~********Y******* <br />. P"l--<--\ <br />COMPANY 0 /"V4 <br />STATE CERT OR REGIST # R YV1 < '" D I ~ Lf (n ~ <br />CITY PROCESSING # ~GI~ <br /> <br />***************************************************************** <br /> <br />~ -1~!. ~. <br />OTHER ' C COMPANY r) \~ ({(VI n. ~ / f/ L <br />.cr. ,,' STATE CERT R REGI ST # ) . '(! <br />SIGNAT - CITY PROCESSING # ~ <br /> <br />-:**~*:*********************************************************** <br />