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<br />,. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS . J I <br />BUILDING DEPARTMENT DATE RECEIVED 1\ 2.% 07 <br />5oS~ 6('o.d.d.cx::..~ Dr PLANS REVIEW FEE <br />335<-\ I / ;J7r;Ne -L J '\ <br />OWNER'S NAME /1l/~au ;;;-Nkrr:Jr/~e 5 VJewGuj~rlirJ 8/B-7Kd--7/7CJ <br /> <br />JOB ADDRESS 5 03 ~ I J:)f- .si. I J 2-epA vrA // /S i ;::1-. <br />/ <br />LEGAL DESCRIPTION: LOT (S);< BLOCK /3; SUBDIVISION2~A).n-Dh<S/< <br /> <br />PARCEL ID # 10 - ~(p -.:2/ ~ ~Ol 0 - I t:2 8'00- 009/) IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />~TALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSG~ILY DWELLING <br />~MMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT <br /> <br />IP <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />[J BUILDING <br /> <br />$ <br /> <br />\50.00 <br /> <br />PERMITS REQUESTED c@ <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E,C. <br /> <br />[J PLUMBING <br />[J ME:S!!b~H CAL <br />~S [J ROOFING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * ** *.* * * * * * * * ** * * * * * * ** * * * * * *** * * * * * ** * * * ** * * *** * * *** ***** * * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** I <br /> <br /> <br />OTHER ) fJ. bn;; ~ COMPANY 6B-hr's.!f.op/J/V6 G4s r %-J..ffie.. <br />~ STATE CERT OR REGIST # 00/78S- <br />SIGNATUR , CITY PROCESSING # <br /> <br /> <br />*' * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * **.** * * * * * * **-1<* ** * * * * ** <br />