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<br />~. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'1_ 9-(75 <br />DATE RECEIVED C><'" <br />PLANS REVIEW FEE <br /> <br />O~N,~R' S, NAME <br /> <br />2-a, I1d ,'11'1 <br />375~5 <br /> <br />,tl (.a...-t fVle n-t5 rt\~ I <br />~%mJ f)~ L0~ <br /> <br />PHONE 5"10 7- 799 2-- <br /> <br />. ..~. <br /> <br />).,.", :~... .'~.. <br />JOB 'ADDRESS <br />~ : . \ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL Iril#?,LI,.~S-- ?/-CXXJO-t:b300'CC,fC) (OBTAIN FROM PROPERTY TAX NOTtCF.1 <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />," <br /> <br />o AIJDI'l'ION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />I. <br /> <br />~TI-FAMILY <br />o INDUS'I'RIAL <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />.0 RESTAURANT & HEAL'I'II DEPARTMEN'f APPROVAL <br />EC( \' IJ I "'{'i~yv'!~+ t2;,U\ \,3: :/\(. <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />0)/' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED E'OR ALL NEW CONSTRUC'fION. <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br /> <br />I3~ILDING <br />Icl{LECTRICAL <br />dt';LUMBING . <br />~ECIIANICAL $ <br />o f.':.AS I ~FING 0 SPECIALTY <br />TY~~'! ~F~~~~~RUCTION: ~OCK <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o . W.R.E.C. <br /> <br />VALUA'l'rON OF MECIIANCIAL INSTALLATION <br /> <br />o O'fnER <br /> <br />o FIU\ME <br /> <br />o STEEL <br /> <br />o O'fHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO.JECT IN FLOOD ZONE AREA.O YES []--NC) <br /> <br /> <br />a^---' <br /> <br />.................................................................. <br /> <br />,';\ , <br /> <br /> <br />[' ,.4/ .... I _J..' <br />COMPANY ',. f S +- c iCtSS .~..,. (~c::T . <br />STATE CERT OR REGIST 1# CXX:) ~~? 0 <br />CITY PROCESSING 1# I 'lIE-" <br /> <br />ELBCTlUCIAN <br /> <br />SIGNATURE <br /> <br /> <br />.. ;' ~ ';' .:' <br /> <br />.****..*.**..**...**.*.**.......:...........~ ~ <br /> <br /> <br />COMPANYPcv1 "",/\..l /L I.J.J . <br />STATE CERT OR REGIST 1# ?~ 7~ F; <br />CITY FROCESSING " ) <br />. <br /> <br />PLUNBBR <br /> <br />SIGNATURE <br /> <br />.. <br />t i. t': ..~ .<: t.' ! .:. <br /> <br />...........................*....**..*..................*......... <br /> <br />OTIIBRi <br /> <br />'oql)f~";"l. qt.'... <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />........................................*........................ <br /> <br />, 'fA' l": - . I ~~ <br /> <br />.' . :.. <br /> <br />..........' <br />