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<br />,')lc( ~Q\~+ # 3/04 <br />. Y'p,'(l,RJ' <br /> <br />OWNER'S NAME ~~"l ~~ ~fLA rVO(L <br /> <br />JOB. ADDRESS L-..("S 0 (p S I~ <-;'J(Le..e.-f- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED- <br />PLANS REVIEW FEE <br /> <br />PHONE 81.5 - 7 88- OSd~ <br /> <br />LEGAL DESCRIPTION: LOT (S) ;1,;;1;) +-,;).;) '-I BLOCK 10 <br />PARCEL ID # } <-{ - d.-(P - (;)... / - C)OfRD- (5 I 006 -dd~O <br /> <br />SUBDIVISION ~I^N ~[~ ~fl (LIe.... <br /> <br />(OBTAIN FROM PROPERTY ~AX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH .~ pi Ace. Y'('\.Q~f <br />PROPOSED USE: [gJSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS [] MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />[lOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />6",,-,,+ "3, ~( L-J. rY0u 2. ('L"V\C0.~ ':S~ 04'j.Rc! <br />toO: 000 lSTU" G-P~ <br />SQUARE FOOTAGE HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENEfGY 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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION;OF TOTAL CONSTRVCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ L../I q LI. 62 <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MEC~CIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YE S <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING #. <br /> <br />SIGNATURE <br /> <br />**********************************************************,*******~ <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />(\f)Q 17-<- P... ('- <br />......... ".H"'H'H H' 'HHH' "HH H' H "J,H H. 'Ht>H ....,. H... ~. v ;;'0' /, <br />~ COMPANY ~ <s D, ~ i<- Uy\.. cl.{j. ((,,'\11./\/,.... ~- ..,. .P " <br /> <br />~7 /. STATE CERT OR REGIST # ("AC0S~ ' <br />__~ ~~ CITY PROCESSING # <br /> <br /> <br />************* ::************************************************* ' <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />.-"" <br /> <br />'1. , . <br />'\,11'.,.,; ... <br /> <br />, f <br />,~ <br />