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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR~ <br /> <br />, 0 -, 1,,'- .1\ <br />~~ C-~- f)'~ Kk <br /> <br />---- ~ <br /> <br />DATE RECEIVED /2.., 20.... eJ ?-~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~'/M.PdJ GN~\\Ol\\ <br />3'7~Af9 _ ~~<t-~I b- \ ~(>~'jt'tHI~ <br />LEGAL DESCRIPTION: LOT(S) \\~ BLOCK <br />PARCEL ID # lo - '2io- 2.l- 0,,'2io - ~ - \ \ ~O IORTATN FROM PROPERTY TAX NOTICF,1 <br /> <br />PHONE <br /> <br />7'€,2-Q8?_ ~ <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />\;..h:,o<i'i:.Waon <br /> <br />WORK PROPSED:~EW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-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 />DESCRIPTION OF WORK ~N~~'"\ ~ ~<e..~ S14<o~ ~\l-'f :b<t:.\'~~ ~""-~ <br />BUILDING SIZE 3f.o X 54/~/f SQUARE FOOTAGE _l<.o~3 HEIGHT 8/WJt\\..ls. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~. BUILDING <br />"g(' ELECTRICAL <br /> <br />PERMITS REQUESTED <br />$ ~. <X::<) ....Q::) VALUATION OF TOTAL CONSTRUCTION <br />200 <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />)( <br /> <br />W.R.E.C. <br /> <br />'lit PLUMBING <br />)i: MECHANICAL $ 2 ~ ac:o. co VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~OOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK )R:" FRAME <br /> <br />I( <br />FINISHED FLOOR ELEVATIONS ~ ~~.~~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />~NO <br /> <br /> <br />BUILDER~ <br />SIGNATU <br /> <br />COMPANY RYMA N r.ONS'T'RTTr.'T'TON. TNr.. <br />STATE CERT OR REGIST # r."R('-()~c)1 ~4 <br />CITY PROCESSING # 274 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ ~ <br /> <br />COMPANY MAR'T'TN "RT."R(,'T'RTr. <br />STATE cERT OR REGIST # ER 013449 <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE~ W~ <br /> <br />COMPANY DENNIS WILLIAMS <br />STATE CERT OR REGIST # RF-O~?nO <br />CITY PROCESSING # <br /> <br />MECBAmCAL ~ <br />SIGNATU~' ~ <br /> <br />****************************************************************** <br />. COMPANY. BAHR'S GAS AND A/c <br />STATE CERT OR REGIST # CAC-043948 <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br /> <br />COMPANY RYMAN CONSTRUCTION, INC. <br />STATE cERT OR REGIST # RC-0016148 <br />CITY PROCESSING # <br /> <br />SIGNAT. <br /> <br />********************************************************** <br />