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<br />APPLICATION FOR PEBMIT <br />CITY OF ZEPHYRHILLS <br />, BUILDING DEPARTMENT <br /> <br />DATE RECEIVED / J- - ~ 1,..1J :) <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C 1ft de. :f:,,"s-~ PHONE (t?.3 - /0 '1 f <br />JOB ADDRESS~ 0~ ~,cQ. ~ I <br />LEGAL DESCRIPTION: LOT(S) I~ BLOCK ~(60 SUBDIVISION ODO <br />PARCEL IO # .J(..f- ~G>. ::I-/- 1900 - 10.0 I <:) D - to I~"N F~OM PRQPF.8TY TA~ NOTT CF.I <br /> <br />WORK PROPSED: ~CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />OMULTI-FAMILY <br />~STRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />P RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 'Nf;cw rl rf'(~te..... ) S:*r~7e qQ...-r.e!i:.... one.... bec..f.-lt rao"",,,- <br />SSJ I~""- 0...' ~ ' <br />BUILDING SIZE s{,b. 1J'VIo"Jloo-r) 10/L SQUARE FOOTAGE 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 />~ING <br />~ECTRICAL <br />~BING <br />o ME CHAN I CAL <br />o GAS ~FING <br /> <br />$ ..u;;fX)CJ., CO <br />~00 <br /> <br />N~ ~'?" J <br />PERMITS REQUESTED er 5Wf"'\j.\'1U / <br />VALUATION OF TOTAL CONSTRUCTION f~l}f, V <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C.. <br /> <br />$ <br /> <br />~ ) It- <br /> <br />, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: ~OCK <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 />BUILDER <br /> <br />PLUMBElR <br /> <br />J'~( STATE CERT OR REGIST # C <br />SIGNATURE ;!:2L-- CITY PROCESSING # ~7cf <br /> <br />*********** ****************************************************** <br /> <br />ELECTRICIAN .L~'~". COMPANY(' LLrI'4/oe ~c....., <br />~' ti.. STATE CERT OR REGIST # (; 0 6~ 8' ~ <br />SIGNATURE ;;:;;--- ~ CITY PROCESSING # <br /> <br />....******** *******'*********************'*'*'*:;:::*'Z3;i(~~ I>/~/'~ <br /> <br />P-05-'Z..&O <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************~*,t*~******** <br />I COMPANY: {. <br />./' \ fr;-- STATE CERT OR REGIST # <br />vV CITY PROCESSING # <br /> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />COMPANY <br />TE CERT 0 REGIST <br />CITY PROCESSING # <br /> <br />*******************.********************************************~ <br /> <br />\ <br />;;. <br /> <br />'. <br />