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<br />APPLICATION FOR PEBMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~..-' / if"' 0 ~ <br />PLANS REVIEW FEE . <br /> <br />(le)scm L .~. ~.l fh f. ;4 -'~':J vn2~ <br />OWNER'S NAME he, ),n L. J ~Y11d,)lt L. 2!jrJ1:Ln <br />JOB ADDRESS Q~ttt;;;"HTF~Y XP, <br /> <br />PHONE gl?-7~d-{):i!:35 <br />- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # o:l-;)&;).I c. ~-...:--------=---:zrr- IOBTATN FROM PROPF.RTY TAX NOTICEl <br />60/0'- CCJ ~OD-- DOl D . <br />WORK PROPSED: ~NEW CONSTRUCTION . 1:] ADDITION DAtTERATION 0 REPAIR 0 INSTALL <br /> <br />SUBDIVISION <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~COMMERCIAL <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 />DESCRIPTION OF WORK B U I (D J /'1-1 {.. __ oS'lI ('-,"-~ Iv ITIt S 1/ c' <br /> <br />i I ~......- .'.__n,.,." "_, _ <br />BUILDING SIZE '-IS X >?~t; SQUARE FOOTAGE 'J.,lAiI.JI..PI.1,6. fl/3,.~J.SHEIGHT lo" ltvl)(L> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />P~RMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C.. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTliER <br /> <br />TYPE OF CONSTRUCTION:~ BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES~ NO <br /> <br /> <br />BUILDER <br /> <br />+ ;'.:J :f.,' <br /> <br />COMPANY 'M~<<Ylf\ ~ ,/n0, <br />STATE CERT OR REGIST # " I ~ <-I <br />CITY PROCESSING # ')1.5 <br /> <br />**************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />.5 flcc,- O/V(y <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />.5 /I r;- cL l1 r/ L;,~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***********~****************************************************** <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SNE'(C O/1Jt..y <br /> <br />OTHER <br /> <br /> <br />***************************************************************** <br /> <br />****i****************************************************** <br /> <br />COMPANY~"oIY)/.}~ll 7(Y5hn'~ ' <br />STATE CERT 10R REGIST # eCG 13d-,~n:5 <br />CITY PROCESSING # ~;? <br /> <br />/ <br />