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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/.4~~ <br />/ (~;LK- O~ <br /> <br />DATE RECEIVED I \ - \ 1- 05 <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br /><1' V"^,, CudIO\ <br />-:Cv-e-( C 'LD~\5 ~bbot+ <br /> <br />PHONE <br /> <br />"7fJ1 ~6 r::? <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />~\A\\crn!)cZ (l.l("f'T~ \6 \ - \O%:) <br /> <br />SUBDIVISION QYC...~ Vl~ r~tte <br /> <br />PARCEL ID # f)~-9ta-~ - ~...CttJDO'- 0000 <br />WORK PROPSED, ~NEW CONSTRUCTION o ADDITION <br />OSIGN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />DALTEAATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY <br />~COMMERCIAL <br />CJ <br /> <br />DWELLING <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 />DESCRIPTION OF WORK ~ <br />BUILDING SIZE ~ Y (Ol€ <br /> <br />v~~+ <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />.~"C{ }rr~(';,4 <br />, ~ <br />SQUARE FOOTAGE <br /> <br />h(Jl' <br />f(JJ Ire;' <br /> <br />HEIGHT <br /> <br />?- t.f I <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATT.A.CH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />lZ.Qc'o\ <br />(ft!iY- ~-~~Irn <br />.' __~:~e\lvJ <br />~99 <br />\l/lo,...q~~Pu1s <br /> <br />W.R.E.C. ~3D ()1r)\Y::;; I"~ <br />'..... \ c 11<":1' <br />(J...)lJ\.i((' ;~ <br /> <br />PERMITS REQUESTED <br /> <br />pd BUILDING <br />~ ELEc'rRI CAL <br />~ PLUMBING <br />ijll MECHANICAL <br />6 GAS 0 ROOFING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />"NO <br /> <br /> <br /> <br />COMPANY <br />STATE CERT OR EGI <br />CITY PROCESSING # <br /> <br />*********************************************** <br /> <br />ELECTRICI <br /> <br />COMPANY <br /> <br />P;"d- Cltl$ t/~ <br />STATE CERT OR REGIST # e:c 60 tJ;)f70 <br />CITY PROCESSING # I~~ <br /> <br />n. <br /> <br />SIGNATURE <br /> <br />~ <br />:> <br /> <br />SIGNATURE <br /> <br /> <br />************************************************** <br /> <br />COMPANY 4/by C),lY-J1?5f!11it. fJ4G <br />STATE CERT OR REGIST # L ... J 3 3 <br />CITY PROCESSING # <br /> <br />l't. <br /> <br />PLUMBER <br /> <br />**.**;L** * . ************************k******* <br />MECHANICAL COMPANY <br />: 11'1 . STATE CERT OR REGIST <br />SIGNATURE~~ CITY PROCESSING # <br /> <br /> <br />oa. <br /> <br />*****.************.*******************.************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE"....., J CI!l:~..e.BQCJ!;.~SING # <br />J' ,,,.,, .. <br />'.' q.:"J " ! frltS,. M ':( ~ <br />r.'J.'~(;.'i.'frIIt. ,t*'!'.. tr. ~'.~.' *******************i~~. ~Al'':i.M1~t.*!t*..****** <br />, '4 ''')'l\qx3 " . ^"'or <br />, ':'.. ~'If _,,~; , ~" ~ ,';'1 ,/fuL ~t,t!.(t - <br />q~~,..:. ' "'~ ': ,.,' ~,~v._~ ; t:~~:!:-.~' ~:;:;~.::::.:..:: <br /> <br />:0,," <br /> <br />~******** <br />