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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />t; <f c1- ~(j i; 7V <br /> <br />DATE RECEIVED Y - / )7-'7 r <br />PLANS REVJ:EW FEE <br /> <br />OWNER'S NAME R ~ 1'/ i!> Id bL{;<(/~ {:) C./& <br />I , <br />JOB ADDRESS ~ 71 ~ tJ /.,i--I t( I7Ll (~ , <br /> <br />/) l'rJ )./ & ,.f ul ( teH),o/HONE <br />Z e p. "- YIC t.' - /<[- , r/ <br />,. " <br /> <br />?/>? -/s-tf?, <br />~ ,~-f-7 / <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # /a -;;Lt - W- CJ h /f 0 <br /> <br />BLOCK SUBDIVISION <br /> <br />o ODe D._ C" 1_ 'Z <ZloRTATN FROM PROPERTY TAX NOTICE} <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[J ALT ERAT I ON <br /> <br />!:a.REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLI SH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />~MULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK l? e.. J:) r\ .' Ii" -f' T ~ L-<..9 ~ /. / (J I rI '" ~ /t'" )( <br />I , <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 /> ,j ~d tJ dt} <br />!X:I ~ <br />BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />[J ELECTRICAL AMP SERVICE [J FLORIDA POWER [J W.R.E.C. <br />[J PLUMBING <br />[J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[J GAS [J ROOFING [J SPECIALTY [J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br /> <br />- I r . C . <br />BUILDER /7 COMPANY J <J /1 >< I J... -" I.---~-I .' I-Ie J N..{' 7. <br />/. ~ ~ J /? STATE CERT OR REGIST # /f>l~ ~ '/-k ~ / <br />SIGNATui~ ~, . ,{ _ ~..~ '" CITY PROCESSING ~ ,;, 7' 7' <br /> <br />************ ******~********************************************** <br /> <br />./ <br /> <br />ELE <br /> <br /> <br />COMPANY F,. Jl!s C C (.4-<:; s E/ e L-r~ . -e.- <br />STATE CERT OR REGIST # 00/1 S- I ~ ~ <br />CITY PROCESSING # 1f2!-t:.- <br /> <br />*************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />* ** * * * * * * * *.* * * * * * * * ** * ** * * * ** * * * * * * ** * * * * * * * * * * * * * * ** * * * * * * * ** * * * * <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 />