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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME W ( c..L I AN) S <br />JOB ADDRESS 3341 rf\Al. AC 41 rE.. DR <br />LEGAL DESCRI PTI ON: LOT ( S ) 44 BLOCK <br />PARCEL ID # ~ :J..t::, ,,\ (X)X) rot 00 ~ <br /> <br />PHONE <br /> <br />SUBDIVISION ~~~~~\~~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[JMOBILE HOME <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />,r'/f~K /??=-J)~/ <br /> <br />BUILDING SIZE <br /> <br />1Ak'lO <br /> <br />SQUARE FOOTAGE <br /> <br />'-!P5C1 <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J 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: [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 />BUILDER <br />SIGNATURE fA.} <y-- p~ <br /> <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE VLJc7 -P~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /~r-; <br /> <br />l1Ci <br /> <br />****************************************************************** <br /> <br />PLUMBER COMPANY A..:flf .M:- <br />~ STATE CERT OR RE 1ST # <br />SIGNATURE W'~:....r~ CITY PROCESSING # y.,.p-- <br /> <br />*H *H * H HH* ~ ~* ~HH H *H H H *HH H * HH H * ':IIC"'HHH* H *H H <br />MECHANICAL COMPANY a C- <br />/ J / ~/~ STATE CERT OR REGIST # <br />SIGNATURE ~ ~ CITY PROCESSING # ~~ <br /> <br />*****************).i~**~)v~~*lf/~*L"*************************** <br /> <br />OTHER TCJI? ~.JpIA1DEI<.~~~ COMPANY 5'/f(Jt,t- COfi~iVC:::T/OA/ <br />n STATE CERT OR REGIST # ___ <br />SIGNATURE ...,- - 8' CITY PROCESSING # <br /> <br />** ***~~********************************************************* <br />