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<br />APPLICATtON FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />71 O,-/JJ~) <br />DATE RECEIVED <J' - / ~ ? r. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME (,I{ 4/ 6:' <br />JOB ADDRESS ) P ('Jc;-q <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />+h/.}.--n&5' <br />Lq ~ ;.,,-/ tJI <br /> <br />PHONE ~/ S '7 /'}/ (J lJ./-fJ-' <br /> <br />L'?~/ '7 <br />// <br /> <br />SUBDIVISION ~~C <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />/ Lj 2;:; J- I {/ / 6 {/ /:JOCo 0 CJt3 5' 6l0BTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <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 />D RESTAURANT & HEALTH <br /> <br />Cd I--/lc;yr /)~J;d <br />, / ( <br />/ .J- I Lf-P <br />, <br /> <br />DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~7C <br /> <br />HEIGHT ? 1 <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 />ErBUILDING $ r?Z! tJ VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />0 PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 AREAO YES <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER <br />SIGNATURE ~.f)'-;;L- ,~ <br /> <br />COMPANY A--L- L- ~-//? I ~ A-!q /"' <br />STATE CERT OR REGIST # '5' r r:,/'.J 5- Ml.j-~ V <br />CITY PROCESSING # /~ ~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />