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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />4Hh<- f'C1Y.9 <br /> <br />DATE RECEIVED S /s ~.3 <br />PLANS REVIEW FEE / ./ <br /> <br />OWNER'S NAME <br /> <br />f(1I;y\AIII <br />, <br /> <br />3R030 <br /> <br />e.. tJ N ~7 <br /> <br />PHONE 7 ~ ~ - O?d-.S <br /> <br />JOB ADDRESS <br /> <br />/)AV{"'h"TRv <br />. I <br />BLOCK <br /> <br />RoAD <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />o a, .J, .11 <br />PARCEL ID # . 0 0 J 0 0 0 ~ C 0 <br /> <br />WORK PROPSED:~NEW CONSTRUCTION <br /> <br />SUBDIVISION <br /> <br />00/0 <br /> <br />(OBTATN FROM PROPF.RTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK :r N-J c RIO R & U ILD 0 u T <br />BUILDING SIZE 'I- S' X 5?~; SQUARE FOOTAGE 3 ~ J~ q1 <br /> <br />HEIGHT J(J' <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br />0"ELECTRICAL <br />~ PLUMBING <br />ErMECHANICAL $ <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />:too <br /> <br />AMP SERVICE <br /> <br />g/" FLORIDA POWER <br /> <br />o <br /> <br />,,------ - -\ <br />w. R. E&'<.' -- ) <br /> <br />'~J$ <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br />~RAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS /0 q. SO <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY il"""Cl ~ Co~ t/~ k>: <br />STATE CERT 'OR REGIST #/ 1}7~ . <br />CITY PROCESSING # ~ <br /> <br />**************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY. {~fl,' I; IJ-).e t f.UYr t ~ <br />STATE CERT OR REGIST #.61 i 00 Ii (;:--. J <br />. pTY PROCESSING # Z!J!3.._ <br /> <br />*****************************;******~~~~Ir~**************** <br /> <br />COMPANY uJ; III ~ t1u. ,,,-'-HI.. fs- <br />J.. /J /I. STATE CERT OR REGIST # e. ~ CO)' u D <br />~~~ CITY PROCESSING # <br /> <br />.r <br /> <br /> <br />SIGNATURE <br /> <br />*********~*******************************************~~********* <br />COMPANY. ??' /!/ /(Iv . , <br />STATE CERT OR REGIST # f( v-r t> 0 r~ Cf~ , <br />CITY PROCESSING # ").0 P <br />.. <br /> <br />MECHANICAL <br /> <br />OT~NAT~. n..::-z:j COMPANY'~ <br />-~ =~~ -- STATE CERTOR REGIST <br />~. CITY PROCESSING # <br />**********~****************************************************** <br /> <br />***************************************************************** <br /> <br /> <br />. ~'\) .J <br />1\ S\ \ t \!J <br />L ~\ <br />