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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ " _.r- ----r- <br />/'~ ::LK- O~ <br /> <br />DATE RECEIVED l\ - 1/- D5 <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br /><1'v~ CtVv-UO\ <br />-:r;v~(C 'tDa.\5 ~bbott <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE .7fJJ--6~ <br />5\A"\\0Y"l1)l<. (iJn~ \61 - \C%') <br />SUBDIVISION Qvc...~ Mf~ r~~ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # (,<3-9la-~ - rpoo--fXXX;O - ()OOO <br />WORK PROPSED, ~NEW CONSTRUCTION o ADDITION <br />o SIGN 0 MOVE <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMI L Y 0# OF UNITS o MOBILE HOME <br /> ~COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .:lJ Vt\~f- ~(~ h(Jd~ <br /> -Vcl ~ (Oee l(jJ;r~ ?y' <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <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 />D <br /> <br />FLORIDA POWER <br /> <br />D <br /> <br />f2~iU;'o\ .' <br />CPJ!iY- ~~ti <br />_.._.!~0 ~. . ~~ <br />~ <br />\Zllq-~(~..a~ <br /> <br />W. R. E. c. \30... 9\a\'D '\ yO <br />\=~ l ~ V't C""', <br />Ojl..i\.~.aC;L <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />W MECHANICAL <br />6 GAS D 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 />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />;NO <br /> <br /> <br />SIGNATUR <br /> <br /> <br />COMPANY <br />STATE CERT OR REGI <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />*********************************************** <br /> <br />COMPANY <br /> <br />p;"r;t aCI5 tlee-h <br />STATE CERT OR REGIST # rr 60 tJ:J-rJO <br />CITY PROCESSING # I~~ <br /> <br />P1 <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br /> <br />************************************************** <br /> <br />COMPANY 4/by (Jdj1/?5 f/t'-fi;L -if'- <br />STATE CERT OR REGIST# L J' 3 3 <br />CITY PROCESSING # <br /> <br />G <br /> <br />~. <br />, <br /> <br />SIGNATURE <br /> <br />01'< <br /> <br />**************************************+************************** <br /> <br />******************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />~ING # <br />busW . M Sol. <br />~'h6~i~******* <br />, 'GOS .tot V'uL ...,i.q;.) <br />Il~l'" :/III ,.......... .... , . <br />~...........",. ..... -~ 1 :per. ~:; <br /> <br />OTHER <br /> <br />'SIGNATURE -"._,., <br />,If Qfl60","~, <br /> <br />~~'~I~,' ti:Y'I~:~:~'*,:r~ <br /> <br />~. ...~.. H'.;<,,~.6"'!-" 'lO ......?- <br />~~."--'~''''''I:'_''''''''''''''' <br /> <br />'\******** <br />\ <br />