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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ? - -3 /~ ;9 17 <br />PLANS REVIEW FEE -3 () . cJ-v <br /> <br />OWNER'S NAME <br /> <br />~ 0 ~ Ut=~::;, /tJ If If JC' <br />3 f I 3..s- #.t?t/r 67 S"B u A.e ~ <br /> <br />BLOCK <br /> <br />PHONE g-/3 -7oV' -J'VC/ 0 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # tJ.~'--- ~/;-;d/--4t!lg-6' :J9tJt!-M.3g <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />~ERATION <br />[J DEMOLI SH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />\ <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />~MMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK A47cl'e /JpE !,b'7-??&?S/! //1//0 ~ RXll1'tu /a:>ntS <br />, () <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 />~UILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />~s- CaJ <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~FLORIDA POWER [J <br /> <br />W.R.E.C. <br /> <br />~ PLUMBING <br />~MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION:~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*************************************************** <br /> <br />-~(. <br />/' <br />...../' <br /> <br />.,;'''-,..-.,.:.,... <br /> <br />.. _/7 <br />,--"-/,,, <br /> <br />'/{LC:'A-~ <br /> <br />COMPANY NClT'+J~ CLz..c...f-,..;c" hc-' <br />STATE CERT OR REGIST # 61( 00/34't c; - <br />CITY PROCESSING # q 7 <br /> <br />PLUMBER <br /> <br />**********************************************************~* " <br /> <br />COMPANY ~ / b.r J tIt;V ;J() (1 (/-11 b,' "J gt <br />STATE CERT OR REGIST # RF O/Jbb 'II,; <br />CITY PROCESSING # J 6 G <br />. . <br /> <br />SIGNATURE <br /> <br />*.* * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ~ ** * ** ** * * ** ~ ~ <br />MECHANICAL ~ ~ COMPANY ....<0...... 1~ r"/~ \ <br />o ~ ~ STATE CERT OR REGIST # ~ R"'"'- OOo-f"1P'O <br />SIGNATURE -->> ~_ CITY PROCESSING # Tft::r -..53 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />~&!& COMPANY FlO("ldc; l/'h..Qd'lcc...oClW:d: <br />!l ~ V STATE CERT OR REGIST # <br />. I ~ CITY PROCESSING # <br /> <br />. -.....................................................,........ <br /> <br />SIGNATURE <br />