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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />',0v~-<(J /- 5t'.3 <br />C_ <br /> <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~il-lS ~~Lt..~ PHONE fBJ....IJ.ll <br />JOB ADDRESS < ~~a<o G~~ ~~. ,~"''J~\U-~ <br />LEGAL DESCRIPTION: LOT(S) 5~ BLOCK SUBDIVISION~\NOOi) <br />PARCEL ID # LO-~ - 2J - 0\2.0 -Qn'D - 0540 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION )l(ADDITION DALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~\)\) ~ ~ ~"\ ~~ ~'IC bl~ Qf- ~ ~ ~. <br />BUILDING SIZE _lo'8't)( 8/ SQUARE FOOTAGE B5 HEIGHT e: W~~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />.~ BUILDING <br />}'{ ELECTRICAL <br />o PLUMBING <br />Jiit'MECHANICAL $ ~4cp <br />o GAS )&ROOFING 0 SPECIALTY <br /> <br />$ 8, <X:(J.~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />€..)(.1':>\J /"<6- ax::> <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />)( <br /> <br />W.R.E.C. <br /> <br />MO~ ~Stt f(b-U,.(f\ ~~ <br />VALUATION OF MECHANCIAL IN~TALLATION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br />)(' FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS M~ ~~""t1~ <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~NO <br /> <br /> <br />BUIWER~ <br />STATE cERT OR REGIST # <br />SIGNATU CITY PROCESSING 274 <br /> <br />* ************************************************************* <br /> <br />COMPANY R Y'Hl\.N <br /> <br /> <br />ELECTRICIAN <br />~M~ <br />SIGNATURE ~ <br /> <br />COMPANY <br />STATE cERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />****************************************************************** <br /> <br />Nf\ <br /> <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE OR REGIST # RF-05260 <br />CI ROCESSING # 19 :)A:J <br /> <br />MECHANICAL <br />SIGNATU~A..u :1S~ <br /> <br />***********.******************************************************* <br />COMPANY: "R1U..lRC:: Gac:: ~ND A/(, <br />STATE CERT OR REGIST # CAC-043498 <br />CITY PROCESSING # 11 <br /> <br />~ <br />\ <br /> <br />***************************************************************** <br /> <br />OTHER ~\~G,.. COMPANY RYMAN r.ONSTRTJr.'T'TON. TNC. <br />STATE CERT OR REGIST # RC-0061.648 <br />CITY PROCESSING # ~1? <br /> <br />SIGNA~ ..:...:.......................................................... <br />