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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 />CrA\5 <br />3 <( oS''; <br /> <br />--rho M..""~ <br />L00a.J\~ <br /> <br />(....,oop <br /> <br />BLOCK DDODO <br /> <br />PHONE(ff3) q 32- D('; 3(p <br />L' hills rl., 33S't..1! <br />LJ~\J~ lJ,Nt\ <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br />DALTERATION 0 REPAIR ~NSTALL <br /> <br />SUBDIVISION <br /> <br />OWNER'S NAME <br /> <br />... <br /> <br />PARCEL ID # <br /> <br />0(;30 <br />(Lj - 2.-(, -21 -bll.oO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DSIGN <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 />~BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />IIJSTA LL~-D()N <br /> <br />at=- <br /> <br />MflxN ~~~({.k:..--Q <br />\~ <br /> <br />)-\OMf:' <br /> <br />BUILDING SIZE <br /> <br />ifj)(L\~ <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 />t1'BUILDING <br />~ELECTRICAL <br />o{LUMBING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />L/(P,OCD <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Zoo <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />~bfY)~ Ce-N~ <br /># DI-t II ~.1 ~S- <br />'Z -z.-z..o <br /> <br />BUILDER <br /> <br />******************************************************* <br /> <br /> <br />~ l<.L . <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />d;). :L <br /> <br />SIGNATURE <br /> <br />************************************************** <br /> <br /> <br />COMPANyYAS Ci) tli:lv'\I\E CJ:::-N ~ <br />STATE CERT OR REGIST # 1)H- ll'Y 0 <br />CITY PROCESSING # ~:z~O <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />**************.{***~*~*~****~***** <br />COMPANY $' f"lt".p r le' f g, ~le! . . <br />STATE CERT OR REGIST # <br />CITY PROCESSING # JLJ~?- <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />