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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />'f <br />:< fJ,5 <br />DATE RECEIVED 3,h ~ <br />PLANs REVIEW FEE <br /> <br />-, . , InC, <br />OWNER'S NAME Le-Pt"JWh d/5 leu (1":"51- ebb PHONE <br />JOB ADDRESS _~ I (p ') t;1 .5J-, . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # rj-l;;.t.p-J/-COJO-/ti700.-0JJ 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />(OBTAIN FROM PROPRRTY TAX NOTTeR) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION "'~ERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI - FAMIL Y Oft OF UNITS o MOBILE HOM] <br /> ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />"3 <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 7.{ (()7T'j) <br />BUILDING SIZE <br /> <br />'- <br /> <br />~ ~YJuJ0-f I (L{ SS-Q..~~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANS ~1) SET ENERGY <br />ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY S. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. I L :; Q <br /> <br />I ;J 7, <br /> <br />FORMS. <br /> <br />o GAS <br /> <br />~OOFING <br /> <br />D SPECIALTY <br /> <br />PERMITS REQUESTED <br /> <br />JLI, &loL/ .oC>VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMp SERVICE 0 FLORIDA POWER 0 W.R.E.C.. <br />ft{Jb fL Ei:.. V ~L. fV'L~k <br />..1J ~1\i '(\.:) l. ~~ (}-YliJ <br />VALUATION OF MECHANCIAL IN lALLATION ~ \l i J\.l!.O <br /> <br />o OTHER f?KJ '" "'- T"" _ <br /> <br />o FRAME 0 STEEL 0 OTHER I ::. ~ ~ ,''' (r (Jif7f4.,. I I <br />r>(3~/~~/~ <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO- <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER. <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING ft <br /> <br />SIGNATURE <br /> <br />~CHANlCAL <br /> <br />***********,******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST #, <br />CITY PROCESSING # _____ <br /> <br />SIGNATURE <br /> <br />:::TU~~; ??~ <br /> <br />***************************************************************** <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />COMPANY M~(il VJ r nn<jf(V (li)fY), )nc . <br />~ STATE CERT OR REGIST # ~ (1(', - /.j~,-5;")t)5 <br /> <br />CITY PRnr~CCTU~ n <br />