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<br />, APPLICATION FOR PERMIT <br />b ILL CITY OF ZEPHYRHILLS <br />Ok' BUILDING DEPARTMENT <br />1-0 A-<c <? pi- fl~ V JC-i\. <br /> <br />DATE RECEIVED ~~~/o y <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br /> <br />R. jI 1'\1\ (,./ <br /> <br />PHONE 8' I j' 'j g J.. - 0 S? l. !: <br /> <br />JOB ADDRESS 3~3.;l~ <br /> <br />?'3 3,~ <br /> <br />.f)u(...L.TC,: <br /> <br />I~ /..'" <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # OJ. - d- 6 - d I - 0()JO,- oo(cOO - CDq~TATN FRO~ PROPF.RTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />[] SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />/V' (^ (./ <br /> <br />() fl I" f( ~ f. <br /> <br />( ..- ' ~, ' <br />,~ J-{ I:. '- <. <br /> <br />O I " <br />IV I_V J <br />, <br /> <br />BUILDING SIZE .s o' ,x' / \) C> . <br /> <br />SQUARE FOOTAGE r C (J C' <br /> <br />HEIGHT <br /> <br />/(). 6 ,I 1-V1'(f;s' <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 />o PLUMBING <br /> <br />IV ,) 5 ~/ ~ AMP SERVICE <br />Si/("<<..,,).^/Ly <br /> <br />B FLORIDA POWER <br /> <br />o <br /> <br /> <br />~ BUILDING <br /> <br />$ 4{!(',oootle <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS / .}. .~ Q . <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />1m NO <br /> <br /> <br />BUILDER <br />S'GNATU4~ ~~. <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN n / ~' Q.,~' COMPANY. llJc..rtl'V\ flee. <br />\J/--I~ ~ STATE CERT OR REGIST # EJ€ OL~449 <br />SIGNATURE , CITY PROCESSING # <br /> <br />/..HHH....HHHHH.HH.HHHHHH..H.HH~HH.HHH.HH <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />AWl <br /> <br />I , <br /> <br />she tl <br /> <br />0/1'7 <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br />SIGNATURE -.liM <br />, <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />,shelf 011 17 <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />fi2 00 <br /> <br /> <br />~ <br /> <br />COMPANY R(/YlaV\ CCV\5trUc.+lClV\. l:r~\(i <br />STATE CERT OR REGIST # i<.. c - ()OJeo iLl i? <br />CITY PROCESSING # <br /> <br />**********************************************~******* <br />