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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />71r e,'J ~ & 7 b .3 1. ~. <br />7;~_--/J A ~,fbLej <br />~-r ~-.s-_C; 1.-.- <br />DATE RECEIVED ,7 c:r <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />511{/~v OA1.;5" /.l,'--1~ CwJE;,-5 <br />C:c:{~~ / Pc~ + StlV~r CJ(J'=-S <br /> <br />;Jssoc- <br />tJy <br /> <br />PHONE <br /> <br />__. l' <br />1<63 - J.L.ql ) <br /> <br />OWNER'S NAME <br /> <br />SUBDIVISION S>lv<;.r 0./)/<..5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />O~2r: 2..1 <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 />~IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />\ <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />~THER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~1~<"+ .A/1~U./l"l~ ~ SL 6-.,) <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 />PERMITS REQUESTED <br /> <br />cYBUILDING <br /> <br />$ ,.1, CJ -.5.0 . 0-0 <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 />SIGNATURE <br /> <br />~/e~ <br /> <br />COMPANY w~7 ~Y{"Q<- 5/~..J..S' <br />STATE CERT OR REGIST # c;;:~ A Cad t!) P' ~ <br />CITY PROCESSING # / 77~ <br /> <br />v <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~.. <br /> <br />- COMPANY W~:sT C~.v"Pt.D1 slc,.J..f V <br />~. ~ STATE CERT OR REGIST # ~S~~~c'>c:J fl'/ <br />c::'"~ CITY PROCESSING # J I' \- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />