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<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPAR'l'MEN'l'
<br />
<br />DATE RECEIVED ~.I I rJ/ (') (/
<br />PLANS REVIEW FEE
<br />
<br />OWNER'S NAME th,u.,\\\'( {\ ~\ft\ Il.it,' (,\ / I,. () PHONE
<br />JOB ADDRESS "t~(i,d;~\.t~ 3 (5033/ 3J'{,Js. .fhs e /A,'
<br />/
<br />LEGAL DESCRIPTION: LOT (S) j';\(!(' t:.l1 BLOCK ,'\ SUBDIVISION ('icJ:.. f).. J(
<br />(\) ,) (, '\ ...,.) \. (."\0/-1('1 00/\00' (JO f'(:
<br />PARCEL ID # . r,. (OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />WORK PROPSED: 4JN~~ 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 />D DEMOLISH
<br />
<br />PROPOSED USE: DSGL FAMILY DWELLING
<br />D COMMERCIAL
<br />
<br />_,,~.~.r.
<br />
<br />[i]MULTI - FAMIL Y
<br />D INDUSTRIAL
<br />
<br />fA# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBI LE HOME
<br />D OTHER
<br />
<br />~
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />DESCRIPTION OF WORK \)(, ,)(h.X 'l t '\.L~~t:\
<br />,
<br />
<br />BUILDING SIZE C., CJ V ,:,,-,\ (' .
<br />
<br />SQUARE FOOTAGE \ C,~ -i e,), C(')
<br />
<br />HEIGHT
<br />
<br />(~~
<br />(
<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 />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />~,#
<br />
<br />~ BUILDING
<br />
<br />I
<br />'~ ELECTRICAL
<br />'EJi PLUMBING
<br />
<br />$
<br />
<br />"
<br />
<br />[. .J I l[i(}"-
<br />
<br />PERMITS REQUESTED
<br />
<br />\t ,t
<br />
<br />AMP SERVICE
<br />
<br />D FLORIDA POWER
<br />
<br />D W.R.E.C.
<br />
<br />fI] MECHANICAL
<br />
<br />$
<br />
<br />, C,l'
<br />'J '(',C'
<br />.... '-,',) - .
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />o GAS
<br />
<br />S ROOFING
<br />
<br />o SPECIALTY
<br />
<br />.. 0""
<br />TYPE OF CONSTRUCTION: "g "BLOCK
<br />
<br />o FRAME
<br />
<br />D STEEL
<br />
<br />o OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAD YES Ji,,~o
<br />t
<br />
<br />
<br />BUILDER \ /./ ..,
<br />S I GNATUBE..-.<': _, ~---=,,'.
<br />.- ( ". '. .)
<br />
<br />COMPANY RYMAN (;ONS'rRnr'rTON. TNr.
<br />STATE CERT OR REGIST # C''RC'-O'1''il '34
<br />CITY PROCESSING # 274
<br />
<br />******************************************************************
<br />
<br />ELECTRICIAN
<br />
<br />SIGNATURE
<br />
<br />C \
<br />,\\\.,'
<br />
<br />'\)' \
<br />. ^ l'..i 'v" c \. '<.. J \
<br />)
<br />
<br />COMPANY MAR'rIN FT.FC''T'RTC'
<br />STATE CERT OR REGIST # ER 013449
<br />CITY PROCESSING #
<br />
<br />******************************************************************
<br />
<br />SIGNATURE
<br />
<br />',' !j 1 ,/
<br />({Jil-J(i.d !l.{t!to.:('4lL.~,/
<br />
<br />,
<br />
<br />COMPANY DENNIS WILLIAMS
<br />
<br />STATE CERT OR REGIST # RF-057.fiO
<br />CITY PROCESSING #
<br />
<br />PLtndBER
<br />
<br />W:CHANI~ \' )
<br />SIGNATUBE\\/~ \ .~
<br />\
<br />
<br />******************************************************************
<br />' COMPANY BARR'S GAS AND A/c
<br />\ \ ST.Z\TE CERT OR REGIST # CAC-043948
<br />\.\. \'),,.\,\ CITY PROCESSING #
<br />
<br />*****************************************************************
<br />
<br />OTHER COMPANY RYMAN CONSTRUCTION, INC.
<br />, \t/. '~~l STATE CERT OR REGIST # RC-0016148
<br />SIGNATURE4-~_~-*/ _" CITY PROCESSING #
<br />
<br />, ****~:\*********************************************************
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