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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />9'11- bJ'3-,6~~ <br /> <br />DATE RECEIVED 9 - / / - r~ <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />MARl L.LlA ~AsSAN ftN <br />3~c;,/q TR.~LLlS Avt:. <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />ZE?H'(R HILLS <br /> <br />F"1A <br /> <br />33.5)10 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />3S"-..2S--;2..1-s-!-l -0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />]g(ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />C ON V € ~ T ~c. R.~f N Roo M /0 G 1...A"55 ~ 00 fY\ <br /> <br />BUILDING SIZE <br /> <br />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 />-0 BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />S/97' ~b <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 <br /> <br /> <br />COMPANY A 1 u tn) N V 1>') <br />STATE CERT OR REGIST # . <br />CITY PROCESSING # .21./5:;" <br /> <br />************************************************ <br /> <br />ELECTRICIAN d II ~ <br />SIGNATURE ......---~t) ~ l- &-. " 0vL _ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANy.Al!€.. g/EC7/?Je!..- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / ? 7 <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *.* * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** * * ** ** * * * * * <br /> <br />MECHANICAL <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 />