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<br />~ <br />~\ <br /> <br />~. <br /> <br />APPLICATION FOR PEBMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />SHEa- lqS~ <br /> <br />DATE RECEIVED ~4-;~ 3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />I?- Y MAl'" <br />380'101 <br />, <br /> <br />l!.OIVS), <br />$ 80 <J '-I 7)/fjlrf~'1 U. <br /> <br />PHONE <br /> <br />'I f;l, Ox;;"S <br /> <br />JOB AnDRES S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #oa -,),6 -ll 00)<:) - QO!> 00 - 0 () 10 <br />WORK PROPSED:~NEW CONSTRUCTION o ADDITION <br /> <br />(ORTATN FROM PROPERTY TAX NOTICEl <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 />o MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />T..v-TG"II,o/Z $U~L() -<::JL<T <br /> <br />LL"'~v ~r' <br />BUILDING SIZE -, ~"., t!.. ~ <br /> <br />SQUARE FOOTAGE S s> J.....5 <br /> <br />HEIGHT <br /> <br />/0 I <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br />0/ a.- 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~LORIDA POWER 0 <br /> <br />W.R.E.C.. <br /> <br />Q/"ELECTRICAL <br />9"PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />1/6 <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNA: <br /> <br />SIGNATURE <br /> <br />***(;-."******************************* ****** <br />. f <br />Q ~ COMPAN~ r <br />fj <'L I STATE CERT OR REGIST # _ <br />7:- l CITY PROCESSING # ~F <br />P" too / i..f-:c: c;/ ' <br />**********************************~*~****J**~/4******************* <br /> <br /> <br />ELECTRICIAN <br /> <br />.J<' <br /> <br />PLUMBER <br />SIGNATU~ <br /> <br />~~\ <br /> <br />COMPANY IAJ, II ((~ .pItA.. ;1:./1 ""-e::::- <br />STATE CERT OR REGIST # K.F- 05ri-(o{')O <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * **** * * * * * * * *** * * * ** ,* *** * * ** * * ** *** ~*..** * * ** *"f'ts: ** * * <br />COMPANY: .~ (-~ff.(/ 'r _ I <br />STATE CERT OR REGI ST # Il. J711l CJ I t:ct6 <br />CITY PROCESSING # :J-t.P <br />, . <br /> <br /> <br /> <br />MECHANICAL <br /> <br />********************** <br /> <br />****************************************** <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~~ <br /> <br />*****************************~******* <br />