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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(, -/6- - f r <br />DATE RECEIVED - <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~USoL.:ft, n~bl/I-'f-.t quUc hI', <br />JOB ADDRESS g~ S'i. -i- I J 'f{, ~!~, - API IDI..A./"EJ( <br />LEGAL DESCRIPTION: ~~ BLOCK <br /> <br />If; :LJ '7 <br /> <br />PHON(! J ~J 7 tJo - q 113 <br />~;(> <br /> <br />, <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # :2 -.21, -fi- i":? (,fro ~11"C4-t1().- CJ 0 70 (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERATI ON 0 REPAIR lH'iNSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />rn;OMMERCIAL <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK IJcltL~1ki111aJ I e~, 7h tpJhnj' {-Drutu~~-iL 7iu _1f!.4"" -J- <br />~vp ~c4 s t~isl.-e-,r lYi V ~ . t /J 4 .{l1 <br />BUILDING SIZE I -Ox 12-- SQUARE FOOTAGE /2-D S HEIGHT '1 /J-- \'i: <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 />~BUILDING <br />~LECTRICAL <br /> <br />/ <br />$ :2i, L~ <br />dDo <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE n(' FLORIDA POWER 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <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 />~THER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECmICIAN **::P*~**~.***PJ;;;;(7*::::::2J~;::[*~*~7c:;.s T. 0(4'- <br /> <br />o~ f3)7> STATE CERT OR REGIST # E;; C- 00 OJ lp4:..3 <br />SIGNATURE . CITY PROCESSING # --;:>4 { Lf <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 />