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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED .-6 -2 5~ -0 V <br />PLANS REVIEW FE E . ' <br /> <br />OWNER'S NAME OC:.:, \.-,--,' Q \ d \-- \ 0 ~c..e /U c..C <br />I <br />JOB. ADDRESS CY-SQLP S-" 1-\ 'S4/2.E"C' <br /> <br />PHONE BtS -779-8"([:3c <br />Z (/ph ~ ~ \-\ (l.L':) :; 5::;;<:"{ ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) ddd.-.!f.;);;y/ BLOCK It.J <br />PARCEL ID If ILl -d.U <)--1- 00(00- 0 1000 -,:X;).",)..6 <br /> <br />SUBDIVISION S lA~ ru /<.. i Se P/l12. Ie.. <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY ~AX NOTICE) <br /> <br />[]ADDITION <br /> <br />[] ALT ERAT I ON <br /> <br />[] REPAIR M INSTALL <br />lle.,p {f} eQ,~+ <br /> <br />[]SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />~ [] If OF UNITS <br />[] SWIMMING POOL <br /> <br />[]MOBILE HOME <br />[]OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ESCRJ;~TIO~ OF WORK eg lU:)L C ~7~/" 0 ,,~f- ~S L\---. "5'+ de -N / i LA (' c; G ( <br />C ' ,,\I cL.L71...ak rC. ( (~s> d~ I 1 / {J C I 0 C t:/ G/i S' C LC /2..W P Ck--. <br />, <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT _ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENEF.GY 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 />[] BUILDING <br /> <br />$ <br /> <br />VALUATION;OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] <br /> <br />FLORIDA POWER <br /> <br />[] <br /> <br />,. /_~ "\ <br />W.R.E.C. \ <br /> <br />/ Lfl L/ . ' <br />rJ~_~ (J . , <br /><:2~/ <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ YiC?Yr02 <br /> <br />VALUATION OF MEC~CIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****************************************************************~ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING #. <br /> <br />*****************************************************************~ <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />SIGNATUR <br /> <br />* * * * * *.* * * * * * * * *** * * * ** ** ** * * * ** ** * * ** * * ~~ **** i<* *(:'t* * * *^** **~ . <br />COMPANY r::c, \-:::, '> -Po \ (L ()y-J'~ ~~ <br /> <br />L STATE CERT OR REGIST # CJ::;e.(j 5:t:o~7C/ <br />~~J1 CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />~ . <br /> <br />A,.~. <br />,"".t.--.,. <br />;.l:.; <br />