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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 <br /> <br />BooN(€. <br />.3 S 7/2 <br /> <br />23~l"E~ <br />I Sr- ,.If uz: <br /> <br />PHONE <br /> <br />7cr-.. 6 S9c; <br /> <br />JOB ADDRESS <br /> <br />Z~P#..>'<~ '.&L. \ <br />" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />11-2' -2.1- OeJ/o-Z/WO- OO/~ <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF.l <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />~ REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />D DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />l?€'fP"""~ K CO~ ,F{GJ~ /?~€ /- /7EtLoo,e:- <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 />(3'8' <br /> <br />PERMITS REQUESTED <br /> <br />,(gf BUILDING <br />ii1 ELECTRICAL <br /> <br />06J <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W,R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br />D GAS ...-81. ROOFING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />......,.............-..........-... <br />.........................'.......,...........,..-... <br />. . . . .:.'.'.:.'...'"".'.:".: <br /> <br />BUILDER ~ <br />SIGNATUR? VI.. J <br /> <br />'i:iUiu::n'iin'uniin'iiiii'"i,iiiE:i"":F'// <br /> <br />COMPANY ST. ~C~CP"" C"Ja7'4.i c .r/GJSt~ <-. . <br />STATE CERT OR REGIST # C. e Go ~.s '< 3' _ <br />\....1 ~;: fl.ROCESSING # L 3 (. f'{ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~-AJ~ '2.J ,j ~ ~ <br /> <br />SIGNATURE <br /> <br />COMPANY FeE:. GL6'~, '- <br />STATE CERT OR REGIST # ER- 0004bJotD <br />CITY PROCESSING # I 0 l" <br /> <br />/' <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 />OTHER <br /> <br /> <br />?Z2:****~1.*******************::::~:**;;;:::**;::;:~ <br /> <br />/ .. STATE CERT OR REGIST # /ZL bOC/ILf/,/ <br />t..-....-- CITY PROCESSING # I / ~ <br /> <br />1/ <br /> <br />***************************************************************** <br />