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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 />JOB ADDRESS <br /> <br />,,- <br />, "-. <br />,...-....(.,.. '1 ~..-'-.:... <br />"-err I / r <br /> <br />t/~(i2, WI J, ~ <br />~/11 <flA-r~ r>o.vJ7'~ <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />1r">( If' J,f te. r), ..,.sf <br />.. <br /> <br />SUBDIVISION ~1~1't..rt<1; //,/;70.4 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <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: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Pfi P, " I1tc'if.. J <br /> <br />BUILDING SIZE <br /> <br />/2..Xyo <br /> <br />SQUARE FOOTAGE Y 2> c) <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 />o BUILDING <br /> <br />$ <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 /> <br />COMPANY ~~,. r s <br />STATE CERT 0 REGIST # 'I f?' <br />CITY PROCESSING # <br /> <br />BUILDER <br />SIGNATURE Wao-~ ~ <br />/ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE f]4~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />/r7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE t.J~~ <br /> <br />COMPANY p~ Mfd'S <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ?f~ <br /> <br />MECHANICAL <br />SIGNATURE C~ BAe7LV3- <br /> <br />* * * * * * * * ** *.* * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** * ** * * <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />f./~- <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />