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<br />% ~1-ti \ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~"F~~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S <br /> <br />NAME ---:JOhtL Mes ieh1 oVG <br />5613 t~ S-t- <br /> <br />PHONE <613 -1W'- 14d.-'6 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 1l-d&'2.I-OOIO-D~5oo....oo.30 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />Os I GN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />0# OF UNITS <br />~WIMMING POOL <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~\ GVDLLu..d SlUlVV'-~\~ px>l w;-+t..deck ~ Sc.Ve~ <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />~ILDING <br />~~TRICAL <br />~~BING <br />o MECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />/8'./ C/&(). -- <br />_ VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~/Pl <br /> <br />COMPANY ~112> PDCj CbV\.+VAG-h~ <br />STATE CERT OR REGIST # c.P- Co5 ~43 g <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br /> <br />COMPANy_+t6}w'CihS ~\e'- Sv,- Co <br />STATE CERT OR REGIST # ~:t\.d l <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />r;Lffil <br /> <br />::TTB P DO I eoV\--(v ,^G~ ~ <br />COMPANY # {)(7- C 05t.o0,301 <br />STATE CERT OR REGIST ~ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *-* * * * * * * * * * * * * *** * * * * * * * * * * * * * * * * * * ** * * * ** * * * * ** * ** *** ** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*** * * * ** ** ** * * ** * * * * * * *** * * ****** * * * * * * * *** *.* ** * ***** ** **i)k* * ***** <br /> <br />-, '"l ~ e. . IY1 0" .0. <br />Sa cr ~ COMPANYV IIII\'~ - <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br /> <br />OTHER L/'/ <br />