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<br />f~ <br /> <br />',7r /;f" ,Oils- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED tP - ~ -01( <br />PLANS REVIEW FEE CO- <br /> <br />/) r I . n <br />OWNER'S I'JANE L t {(J..-! tu 1,\ fr'1 e.l'ctll1 VI <br />it? {) /3 .-;q/ d'q eu.Jo-v pr, <br />. ..../ j <br />LEGAL DESCRIPTION: LOT (S) 55 <br /> <br />/c::-'\ (j C "/ <(' <br />PHONE (613/71 i -~~- <br /> <br />JOB ADDRESS <br /> <br />- {'f / <br />SUBDIVISION Z~Dj~ ir /6aj ~ <br /> <br />PARCEL ID ft 03-d{P-~!-(!)130-{)OO{)O '~OS5CJ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />VlORK PROPSED: rfNEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />BLOCK <br /> <br />OSIGN <br /> <br />o HOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />On OF UNITS <br />o SWIMMING POOL <br /> <br />,/ <br />IIrMOBILE HOMf <br /> <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />CJ <br />WORK fl.ew <br />d? /~ ~'r;) , <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />II' II --7)/ <br />i 1,7 () h / / € HfJIJ7 e / Ia..(! c{! 1/7 ~ It <br /> <br />,/ <br />1- <br /> <br />DESCRI PTION Of' <br /> <br />SQUARE FOOTAGE <br /> <br />/ "l C/ d-. <br />i 0 I <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMfo:RCIAL: <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 REQIJIRED E'OR ALL NEW CONSTRUC'rION. <br /> <br />ri BHIL1HNG <br />oJ' ELECTRICAL <br />g PLUMBING <br />r;i MECHANICAL <br /> <br />J/ ".) fJ t'Y.7 <br />$ /(/.../t'/{. <br />" / <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />l-(~lS) 7;<1-9C;/~ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />'0 W.R.E.C. <br /> <br />$ <br /> <br />/ ~t:" <br />'') ."7) rl <br />I .-' (/ V ' <br />, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FIN1SHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />L <br /> <br />SfGNATURE <br /> <br />"'-0:: - /./'1 A/! -.4' /1, <br />/' V I/C~. " L--'f "'- <br />./ <br /> <br />(,,/'7 '.7 <br />//c~_. <br /> <br />C~C'l'Of{.~;SEC'.l':t~ <br /> <br />COMPANY GCt--Yvr 7ra-/1 ~l)rf- <br />STATE CERT OR REGIST n. -- /'/CC'/'JO Vt>7 <br />CITY PROCESSING #I <br /> <br />BUILDER <br /> <br />***********~********~********************************************* <br /> <br />SIGNATURE <br /> <br />.~U~ <br /> <br />COMPANY DO(t:;/71:1 67kr/Jr;'. er, <br />STATE CERT OR REGIST n t"12mc;.[)S& 7 <br />CITY PROCESSING n <br /> <br />ELECTR!CIAN <br /> <br />****~*.*********.*A**************.**************A****************~ <br /> <br />PLUMBER <br /> <br />., . <br />(' . / /)/ <br />i '01. 1/..' L..<,/ <br />/ -:'V;L-i 'f~'//' l~' <br />, <br /> <br />/ -...-- / <br />G~~y //:"ahs',ol'r/'- <br />COMPANY, , <br />STATE CERT OR REGIST #I J:lraOtJOl/b? <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />********************.************************~**t~***~~1****:**~** <br />COMPANY Dc I phil-'! t:fJ Y S ys. Y-e.n"-& <br />STATE CERT OR REGIST It cl9t:!.-CJ S--71Ir <br />(2J~ 14~ CITY PROCESSING # <br /> <br />I~CHANICAL <br /> <br />******~k**************A*************~**************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST #I <br />CITY PROCESSING #I <br /> <br />SIGNATURE <br /> <br />A*t**********~********.*~**************************************** <br />