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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(). b\V-- ev.-:::0o ~ (0 ~ <br />_-t ~t1 e--if) Cn~J <br />DATE RECEIVED ~- <br />PLANS REVIEW FEE N \ tA <br />\ <br /> <br />OWNER'S NAME Ech ~ m i{}{l t---k:? D ~ ~\ s" <br />JOB ADDRESS em t::.~J4-LD ~ fA) r- Lo (" 1 () -, <br /> <br />PHONE <br /> <br />SUBDIVISION EIvtt::t2/k..n fbr .ul' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />IOBTATN FROM PROPERTY TAX NOTICE} <br /> <br />Os I GN <br /> <br />QlCADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK (1 ~~(t '\ I DELK- w tt1+ '12 Dd ~ \.-t- ~ ~ . <br /> <br />BUILDING SIZE SQUARE FOOTAGE 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 />o BUILDING <br /> <br />$ I~OO, -~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />BUILDER ~ COMPANY , <br />9 ~ /) STATE CERT OR REGIST <br />SIGNATUR 1 Ivt ~ ( ~ ~ CITY PROCESSING # 24A' u / <br /> <br />*****************************************************************: <br /> <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY ~~s C CII'T$ s Flee -c y e:.- <br />STATE CE'RT OR REGIST # Or'7 / / ..s- / 7 <br />CITY PROCESSING # ) tj CO J <br /> <br />ELECTRICI <br /> <br />****************************~*~***~~\ . <br /> <br /> <br />PLUMBER COMPANY A ~...:-- <br />~/4~ STATE CERT OR REGIST # /' <br />SIGNATURE- t(/ --- . CITY PROCESSING # 2- I ( '1-- v' <br /> <br />***********~****************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REG~ # / I 2- <br />CITY PROCESSING # I / <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 />