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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS EUNIEW FEE <br /> <br />...--,- <br />. <br /> <br />JOB ADDrESS <br /> <br />C V.-tttis <br />~ ~ I S- I'1-Pbo tr S*~~ bli <br /> <br />JI/i""" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />a/'7f-1F;o I <br />SUBDIVISION S; /VC.I G>-kJ (j !(a.~ <br /> <br />PHONE 7f!lo'-,~ ?c-7 <br />/ <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # <br /> <br />03 - ;)-fR-.;)/ -,qOWO- otJco <br />60 'i7CY ' <br />DNEW CONSTRUCTION D ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />D DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />.:z:; /'- f( 1/ br <br /> <br />&1 Jdou?- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />Gd:t;ee. 'Shop <br />917 <br />, <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1.) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FLORIDA POWER <br /> <br />~~~ <br /> <br />~,~A5+el, :Il'-~ <br />rW~' <br />It..- <br />~ W-1 " It rfIIY'" . <br />, Wiif/...i- n <.t-P . <br />c.iI""r <br />W.R.E.C, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />9cu <br /> <br />AMP SERVICE <br /> <br />1- <br /> <br />D <br /> <br />D PLUMBING <br />D MECHANICAL $ <br /> <br />qJ"f\ - 11/ u,/Otp <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />{2aft^- O~ ~ <br /> <br />D OTHER -r-See- (2e0\e~ {UY)')I'YJert.:> <br />r-or c. 0 . <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />D STEEL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY &rrCICJJ L(eC!TrC <br />STATE CERT OR REGIST # 6COOO:J->70&i) <br />CITY PROCESSING # I~~ lJ2 <br /> <br />PLUMBER <br /> <br />COMPANY 6/Dt VAy~ !J:'"-f.,;",@ <br />STATE CERT OR R~I ST fl t:E. {}-J;~!~ <br />CITY PROCESSING # I,~ <br /> <br />'-- <br />SIGNATURi <br /> <br />SIGNATURE <br /> <br />**************************r~**~*.J~**t~ff~~~~* <br />, COMPANY I~ f'lL. .VI wn~ <br />~ ~ STATE CERT OR REGIST # C C-O<;-515 <br />j CITY PROCESSING # ~fl fe511 f 14/(>0 <br /> <br />************* *************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />'***************************************************************** <br />