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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />P~P7--S~ <br /> <br />f)!1C(t{70HtJ <br />11)-~~7Y/ <br />DATE RECEIVED (1 - <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />r9 4' j( e t-- . <br />I <br />)~O~I <br /> <br />\ <br /> <br />/t) I (!;J L-- ~ <br />La lA-/"J-.,~t4 <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />(f'v <br /> <br />I A. " <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION ~7h-C;( ~ U-t..." d <br />PARCEL ID # i 1- J--tfJ-.1 0/ tf /J '--.tJLJ~~ t:J t:J jC1 0 (OBTAIN FROM PROPERTY TAX NOTTCEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br /> <br />[]MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[]OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />C~/(/A II)~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />7/t) <br /> <br />HEIGHT <br /> <br />Lt/ <br />. <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 />IJ. ~7XJ , J'1) <br /> <br />I <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 /> <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 />o STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE ~ /- ~ <br /> <br />COMPANY 1- L-- L- ~,h-....fJ A' ! L tf-,r, A Lq A, <br />STATE CERT OR REGIST # ,) t' LL:' ~ J....t?y::.., <br />CITY PROCESSING # I, .,~ <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 />CONPANY <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 />