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<br />90}Jl <br /> <br />~vuu\. _.1-;)1- - 8~8 - Ie( I.i () <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED loll (; /9 f" . <br />I I <br />PLANS REVIEW FEE <br /> <br />OWNER' S NAME~* i-~U'VLf f-u,e/J <br />JOB ADDRESS 3S-5'2s' B~" <<-r ( LMc J....~ 7~- <br /> <br />PHONE 70-0 - 4Z~ <br />~ ~(')(Ajl" 2 -h~ It ~ . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />[] SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />W~DITION []ALTERATION [] REPAIR [] INSTALL <br />[]MOVE [] DEMOLISH <br />[]MULTI-FAMILY []# OF UNITS [] MOBILE HOME <br />[] INDUSTRIAL [] SWIMMING POOL []OTHER <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK VC(f'h( f?-~ -~t-hE"() - C~-n.., <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 />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY V <br />STATE CERT OR REGIST # q. <br />CITY PROCESSING # ,..:;; Lf '() <br /> <br />BUILDER <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * ** *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ******** ** * * * * ** * *** * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />