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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />f-<iA I' -"..- -,--- <br />/ I~ :L~- O~ <br /> <br />DATE RECEIVED 1 \-I/-D5 <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />~V~ CwJIO\ <br />-t;~~(e . tDa. \ '5 <br /> <br />PHONE >7fAJ-61S1 <br />S-rA'"\\O'n 'bi<. (U()\+~ \6 \ - \O%:') <br />SUBDIVISION Qvc...~ Mf~ r~~ <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />OWNER'S NAME <br /> <br />Abbott <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # (?<3-9la-~ - f'PW--r:t::oDO - 0000 <br />WORK PROPSED, INEW CONSTRUCTION <br />Os I GN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMI L Y 0# OF UNITS o MOBILE HOME <br /> ~COMMERcrAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .!L6 V~~..(- ~(~ hUO~ <br /> ----Vcl1l0(e f(,IJKS- ?- t.f ' <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 />ATTI\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 />f2~u;'o\ " <br />crJtiY- t-~ti <br />..J~({\ ~ . ~~ <br />~ <br />\2/10,- ~{~.a~ <br />W . R. E . C. (3'D- p, o.Y'6 'I (" <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />'9' 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 ELEVATlo~s <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />INO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGI <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNI\TUR <br /> <br />* *** * ** ** ** * * ** ** * * * ** ** * * * * * **** ** * *.* * ** *** ** * <br /> <br />ELECTRICI <br /> <br />COMPANY <br /> <br />P;"sf Cle6 tle~~ <br />STATE CERT OR REGI ST # ec.. ()CJ t!J ;}570 <br />CITY PROCESSING # I~" <br /> <br />rl. <br /> <br />***************, ************************************************** <br /> <br />L ER COMPANY 4ibl,l ),'Y11?5 iffft'-!J:;i ffG <br />p UMB ~ A STATE CERT' 0': REGIS~ # c / iJ <br />SIGNATURE~ CITY PROCESSING # <br /> <br />(., <br /> <br />**" *, *, '~1' ':............................H '..up <br />MECHANICAL COMPANY (~f <br />: 1!Jf) .. STATE CERT OR REGIST <br />SIGNATURE ~j. CITY PROCESSING # <br /> <br /> <br />~ <br />, <br /> <br /> <br />of< <br /> <br />******************k*******************~************************** <br /> <br />******************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />y PB~~~JNG # , <br />blSW .M ,&It- \ <br />~tKt'ha~im;******* <br />; 'BO~ .-.r V/tJt.. ".'i.Q;,:::t <br />""~"" JIll,................., <br />....~.....~. '..........~;..I_Il..f <br /> <br />OTHER <br /> <br />. SIGNATURE --..---", <br />,lffiflSQ,,' ,'If.!, <br /> <br />"~'~,'. t\'f~;:~:~'*"~~ <br /> <br />~' , ,," '''''''",>8 If)J!I~, o.I;\'t'] <br />jft.~.....".. .~.""~.....<e;...., ~.." <br /> <br />'t******** <br />" <br />