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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />I, ~:::;~:_~~ <br /> <br />PLANS REVIEW FEE C-- <br /> <br />OWNER'S NAME~'1MM C.Qi-lS\'Q~Cl~. PHONE 7B2.-09c5 <br />JOB ADDRESS LeiS! D~e:,fU~2.. ".tJ-tjf)(p N <br />LEGAL DESCRIPTION: LOT (S) 5/ BLOCK - SUBDIVISION ~eO~OQCL.M-MQt <br /> <br />PARCEL ID # JO-2.b-'2.I-ar~..o -o:::x:ca - 05,0 <br /> <br />(ORTAIN FROM PROPERTY TAX NOTTCF.1 <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:)tSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <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 />II <br /> <br />BUILDING SIZE <br /> <br />c.o~~ ~t\N Sl~ ~'i ~~ <br />37'4" X 58' SQUARE FOOTAGE 1.90""2... <br /> <br />HEI GHT f:! W.fl.U...S <br /> <br />DESCRIPTION OF WORK <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 />pi( BUILDING <br />'6('ELECTRlCAL <br /> <br />PERMITS REQUESTED <br />$ .52>) ~70.. ()::J VALUATION OF TOTAL CONSTRUCTION <br />2.~ AMP SERVICE 0 FLORIDA POWER )( W.R.E.C. <br /> <br />)l'"PLUMBING <br />~MECHANICAL $ <br />o GAS )(ROOFING <br /> <br />2 ~ crJO. Q::) VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK X'FRAME <br />0.1( <br />FINISHED FLOOR ELEVATIONS C)~~~~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />)('NO <br /> <br /> <br />BUILDER <br />SIGNATU~~ ____--- <br /> <br />COMPANY RYMAN r.ONS'T'Rnr.'T'TON. TNr.. <br />STATE CERT OR REGIST # ("~("-()':\~, ':\4 <br />CITY PROCESSING # 2 7 4 <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY MA R'T' T N PI .Pr.'T'R T r. <br />E'PATE CERT OR REGIST # ER 013449 <br />CITY PROCESSING # 97 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLmmEl\ . <br />SIGNATUREC[)~~~ ~) <br /> <br />COMPANY DENNIS WILLIAMS <br />STATE CERT OR REGIST # RF-O~7.60 <br />CITY PROCESSING # <br /> <br />****************************************************************** <br />YBCBAm~ 3' COMPANY BAHR' S GAS AND A/c <br />'- ~ STATE CERT OR REGIST # CAC-043948 <br />SIGNATURE C/\,j /-. CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />omsa ~ <br />SIGNATU. - <br /> <br />COMPANyRYMAN CONSTRUCTION, INC. <br />STATE CERT OR REGIST # RC-0016148 <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />