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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECE:IVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME L-INDA "('0 UN b RlSFflT <br />JOB ADDRESS I ro 05 FT: KIN G Hw i. . ZE.PH-("Rlfl LLG <br />. <br /> <br />PHONE 7 f 5 - , s r 5 ~-r; '7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # II ~ 'L(, ~ 2/- 00 10 - 002.-00 - 0050 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br />~EMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SI GN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <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 />BUILDING SIZE <br /> <br />2 S)(. 30 <br /> <br />DE.lVIoUS>H ?T~Uc....TURE.. ANb GLeAN ~PI5E<:tY <br />f'fZ..OM ? \"Tl:!. <br />SQUARE FOOTAGE '750 <br /> <br />. ' <br />j. ,.,: <br /> <br />liEI GHT <br /> <br />DEl3~S <br />, sn,~Y' <br /> <br />DESCRIPTION OF WORK <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 />0"BUILDING <br /> <br />$ <br /> <br />2- 'Z.. p t:l. !2t2 <br />I <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 />l:.'!'-":, ';"j;'Li::.!:' <br /> <br />"CON1'RACr.r.oR~t;S!:cti:IOi;'. <br />~ '-;" .......,....;,". ,;..' .~,', .','" ".,r "" ", .;. _,c.,:.. ;. _,., ., ..\,\~;"._.,,~.:'..,}t '-f>l <br /> <br /> <br />SIGNATURE <br /> <br />~~~ <br /> <br />COMPANY c:.~s.Go Cl:'J.J $>T~c....n oJJ 60, J I NC <br />STA'fE CERT OR REGIST # c.,e.c.OZ(,p2lf' <br />CITY PROCESSING # ~ ~ 0 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />