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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />i<(CJhf/~ T ~ Vr').'S <br />p/(' /0o/') ( <br /> <br />JOB ADDRESS '3 'i5 5 0 r; <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />\ <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />PHONE 7? /- - )~b 5' <br />h /\/~ r/- 3J5cr 0 <br /> <br />BLOCK <br /> <br />2~/7h/ / <br />" <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />~PAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK /0 C" c j., '"I ; { ff / {r h ,r "' l e: (/ ,(/ r ) <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />$ 'Z 9!lo VALUATION OF MECHANCIAL INSTALLATION <br /> o SPECIALTY 0 OTHER <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />~CHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />o FRAME <br /> <br />----- ---..._-.......~.....11....,... <br /> <br />padmE~S ~o pa~uT~d 'pad^~ amEN <br /> <br />~uawbpaTMOU~~E 6UT~E~ Uos~ad JO a~n~Eu6TS <br /> <br />q~EO UE a~E~ ~OU PTt=(] PTPD OqM pUE <br />(UOT~E~TJT~uapT JO ad^~) <br /> <br />pa~npo~d SEq OqM [J <br /> <br />~o 'am o~ UMOU~ ^TTEuos~ad ST oq~ <br />(pa6paTMoU~~e Uos~ad JO ameu) <br /> <br />^q <br />-:- 61 I JO hEP- sTq~ am a~oJa8 <br />pa6paTMoU~~E SEM ~uamn~~sUT 6UT06a~OJ aq~ <br /> <br />.T_ .,..,. ay___ <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />T <! DDf"I.TRr'l' TN FLOOD ZONE AREAn YES [] NO <br /> <br />padmE~S ~o pa~uT~d 'pad^~ amEN <br /> <br />~uama6paTMOU~~e 6uT~e~ uos~ad JO a~n~Eu6TS <br /> <br />'q~EO UE a~E~ ~ou PTPD PTP DoqM pUE <br />(UOT~E~TJT~uapT JO ad^~) <br /> <br />pa~npo~d SEq oqM [] <br /> <br />~o 'am o~ UMOU~ ^TTeuos~ad sT oqMD <br />(pa6paTMOU~~E UOs~ad JO amEU) <br /> <br />^q <br />~T I JO hEp - sTq~ am a~oJa8 <br />pa6paTMOU~~E SEM ~uawn~~sUT 6UT06a~oJ aq~ <br />