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<br />LE:GAL dESCRIPTION: LOT (S) BLOCK <br />I <br />PARCEL I" 0 # 0 3 --u. -"21 -00 10 -, "IiOO ,- OObO <br /> <br />WORK ptpSED: DNEW CONSTRUCTION D ADDITION <br /> <br />I ~N DMOVE <br /> <br />I I <br /> <br />OWNER'sl NAME <br />JOB ADQRESS <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED * lk J 1 <br /> <br />PLANS REVIEW FEE <br /> <br />~ t:t (( BlvD lak.D T ~u<<:.T <br /> <br />PHONE <br /> <br />(,.., 0 L- c> <br /> <br />~II <br /> <br />~lvD <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />, <br /> <br />PRoposbD USE: DSGL FAMILY DWELLING <br />~ERCIAL <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPhoN OF WORK I.o'S~ 1\ f-Ja,...,J ~~ I '^ (JCJC~. S'r ~ "']:.~\~ \ I S- ,-,"<..ll 'S I&-N <br /> <br />BUILDINf' SIZE <br /> <br />RES.I DEN IAL: <br />COMMER IAL: <br /> <br />~LDI+G <br />[9-"fLECTRt CAL <br />D PLUMBI G <br /> <br />D MECHAN CAL <br /> <br />D GAS <br /> <br />ROOFING <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />$ (POOO <br />OLD <br /> <br />PERMITS REQUESTED <br /> <br />._~A-~6~ <br />'G1isl-~' , <br />p.~. <br /> <br />W.R.E.C. ~00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />-L-AMP SERVICE D FLORIDA POWER <br />UI.yr,NG- ~'rA' c..... <br /> <br />D <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF, CONSTRUCTION: D BLOCK <br />FINISHE~ 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 />D NO <br /> <br /> <br /> <br />PLUMBERi <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />~' <br /> <br />~ /-p <br />~t~~. <br /> <br />~I'4J4 0:nHc:D <br />STATE CERT OR REGIST # es- /2- OO~1.,=& <br />CITY PROCESSING # <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />M:i:CP.Allt::~ <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * ** * * * * * * * ***** * * * * * * * * * * * ** * ** * * * * * ** * * ** * * * ** * * * * * <br />COMFANY- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br /> <br />SIGNATU <br /> <br />06Lr/LrcCl( y '1!'<uJ ~ "'tV> COMPANY r( <:Jv--rk ~,\ ~ <br />~ STATE CERT DR REGIST # 15$ aD G"::'r2.~ <br />· CITY PROCESSING # <br /> <br />***************************************************************** <br />,...--..... -. ,...-..... -_......... .... ""';~'~"".. <br />c '" . <br />~. . . \. <br />L.-_-..~_n... t <br />