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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />, .. /..., .. <br />) GJJ!td 1-9-(}3~ <br />l_ <br />D~TE RECEIVED 1'- 8'-' () 3 <br />PLANS REVIEW FEE <br /> <br />PHONE 8\3 )78c ... %33 <br />, <br /> <br />I-Do{> "L~h\'1t\-\\us., \=L-. 333l.f-L <br />LEGAL DESCRIPTION: LOT (S) -.J -c... BLOCK X SUBDIVISION c:JAv~\lN <br />PARCEL ID # -31-:>5;-21-Q\OO -~ "'Ol2..C (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />-=r-~ -:blaz <br />l"2..2.0 \-\ \ Io"-t.-AN.O <br /> <br />OWNER'S NAME <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />~ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK CoN~ t\\c;:.W ~1 ~\-t\ O~ ~d- E.:~.IS11Nu.. HoMt.. <br />BUILDING SIZE --!,to X , 2. SQUARE FOOTAGE l52 HEIGHT ~ r W-l\~ <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 />'j!i BUILDING <br />Ji('ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />.tuRd E~ev~ <br />" '/:~ <br />)"N; <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br /> <br />BUILD~ ~ <br />SIGNAT~ -=> <br />**************************************************************** * <br /> <br />COMPANYRYM.71_~r CmraTRUCTION, <br />STATE CERT OR REGIST # <br />CITY PROCESSING 274 <br /> <br /> <br />ELECTRICIAN COMPANY E~ ST FA SCO :iL:iCT:RIC' <br />STATE CERT OR REGIST # ER-0014591 <br />SIGNATURE 7~ ~~ ( CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />No ~1-_1^t-f\ 0/1'fG-- <br /> <br /> <br />SIGNATURE <br /> <br />ME~ <br />SIGNATU \I)~ <br /> <br />* ** ** * * ** **.************ ****** ** ** * * ** * * *** ** * * ** ** **** * * ******* ** * <br />COMPANY R lU.lR S r-ll c::: ~ ND ll;l C' <br />STATE CERT OR REGIST # CAC-043498 <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER ~ COMPANY RYMAN CONS'T'RTJC'T'TON. TNC_ <br />~ STATE CERT OR REGIST # RC-0061648 <br />SIGN~ CITY PROCESSING # <br /> <br />~ **************************************************************** <br />