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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~~ For Questions Please Call <br />~ Susan Young - 407-208-9485 <br />. Mobile - 407-399-4630 <br />Pager - 407-372-0798 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />9-21!-9J <br /> <br />, <br /> <br />OWNER'S NAME r AJ\(lQ ~~ ts-f:\=- ru 2f:) <br />JOB ADDREss3~e:nq Ie oK 51- <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID #O~ -:JIo - ~/-(y)IO ...fX'nlffi - C(t\f) <br /> <br />SUBDIVISION <br /> <br />(OBTATN FROM PROPF.RTY TAX NOTICF.l <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />}(R~YAIR o INSTALL <br />j:).c:.((2, ~ <br />~ <br /> <br />UNITS 0 MOBILE HOME <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />\ <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ <br /> <br />DESCRIPTION OF WORKJ).ER~lWjlftilm~'~~~A.O~J;>/~ ~f4) <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />$j~) oat) a-U <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 />~ECHANICAL ~ <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />--. .-.-----'--~, <br /> <br />MECHANCIAL INST~ J IO~ <br /> <br />C!fl~fl-- ) <br /> <br />o OTHER '===----... <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />~***********************************************************R**** <br /> <br />'1../ l l. <br />~~, ~ COOPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />***************** <br /> <br />*********************************** <br /> <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />MECHANICAL <br /> <br />************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />