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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECE:IVED <br />PLANS REVIEW FEE <br /> <br />I~; ('Ad,) BOpifr/;~/ <br />JOB ADDRESS 7' S if '1- ;4fl/f J ( .>f< <br />(/II 7 <br />LEGAL DESCRIPTION: LOT(S) 'tJ-I1) BLOCK <br />PARCEL ID # I J- - pC;, -)-1 - 00 Jf} 1}()~tJp-O 1.(,7 0 <br /> <br />OWNER'S NAME <br /> <br />PHONE 7ttJ -7s9 if <br /> <br />V' <br /> <br />SUBDIVISION ~8f095',.oCS-6?' <br />"' <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />I!YINSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br /> <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS <br /> <br />o COMMERCIAL o INDUSTRIAL OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH <br />7 /l ~-;", /1 <br /> <br />DEPARTMENT APPROVAL <br />{' ~ /7'-//-1" / /1 /r rOr?//'1;/.? '1e.--- <br />SQUARE FOOTAGE 6 g ., <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />$ <br /> <br />~f S50 <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 ij-UMBING <br />%ECHANI CAL <br /> <br />$ <br /> <br />1- J-S 0 <br />I <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 />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUJ:LDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRJ:CJ:AN <br />SIGNATURE rt\)cliQ("L "kf_~ <br /> <br />COMPANY FeE ELE-LfR\ C <br />STATE CERT OR REGIST #~~4bl.f.c'\ <br />CITY PROCESSING # 1CY4- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />*****k******************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />