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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~ -..5'- DI <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />R:M L"n.s;-rCc-+icn .T...<. PHONE <br /> <br />-173 fJO ~~, QlIUP~~R C)~ <br /> <br />LEGAL DESCRIPTION: LOT(S) /7 <br />PARCEL ID # 3 ~ - ;),5 '- J.. I - 0 tOO - {;(X;OO /"01 ID <br /> <br />8/3 ~- 78J. -()5):J.S <br /> <br />JOB ADDRESS <br /> <br />t)v. k /?U'-1 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: lilNEW CONSTRUCTION DADDITION DALTERATION D REPAIR D INSTALL <br /> D SIGN DMOVE D DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />L:o\"l~t{';("" <br />148' .]\ 3q '.. ?/I <br /> <br />Ne...j <br /> <br /> <br />HEIGHT <br /> <br />I /~ <br />,g .- () loj"il.;. <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <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 />~ BUILDING <br /> <br />I (J) \ co.if;.. <br />$ I <br />a-CO <br /> <br />PERMITS REQUESTED <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />15- FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />(~, (jj) r:C <br /> <br />. <br /> <br />VALUATION OF MECHANCIAL IliS~ pLANS <br />ENGlNCC~- <br />o OTHER ON FILE <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 18 NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANYRYMA~J CmJaTRUCTION, INC <br />ATE CERT OR REGIST # ('BC 035134 <br />CITY PROCESSING # 274 <br /> <br />BUILDER <br /> <br />************* <br /> <br />************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY :EAST PIlSCO ELECTRIC <br />TE CERT OR REGIST # ER-0014S91 <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY DENNIS WILLIAMS <br />STATE CERT OR REGIST # RF-OS260 <br />CITY PROCESSING # <br /> <br />PLmmElIl <br /> <br />SIGNATT,JRE <br /> <br />MECHANfCAL <br />SIGNATURE <br /> <br />COMPANY P.Zq.l1;lS GP-S IlJ>JD Alc <br />STATE CERT OR REGIST # CAC-043498 <br />CITY PROCESSING # <br /> <br />************************************************** <br /> <br />OTHER <br /> <br />COMPANY RYMAN CONSTRUCTTON. TNC. <br />~TATE CERT OR REGIST # RC-0061648 <br />CITY PROCESSING # <br /> <br />************************************************* <br /> <br />.i!:'_- <br />, <br />( <br />I <br />