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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 />OWNER'S NAME <br /> <br />b19~ ~5T( <br /> <br />0/9 r: ~ PHONE <br /> <br />fL.kA7?4+_1r <br /> <br />BLOCK SUBDIVISION <br /> <br />JOB ADDRESS L. ... 7 .5>'7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # ;}-J./-U -~ - 0 .:>00-- no) ~ 0 ---J:,'-') <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />\ <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/AA /<' #01,,-- ( <br /> <br />BUILDING SIZE <br /> <br />/2~C/= <br /> <br />SQUARE FOOTAGE <br /> <br />CJ2J0 <br />~ <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 />o BUILDING <br /> <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 AREAO YES <br /> <br />o NO <br /> <br /> <br /> <br />"",,'-:.:.'.:.:.:.:.:.:.'.:.:.:.:.:.:.:.~:.:.:... <br />'-""'-"":"';"';"""""""':i-":"':';" <br />H""i+i:;'~'::!:j:i:i:i:i" ::. i+j:j:i:1:i'i:j:j:[:j:i:i:]:!T!:j:::j:;:!' <br />"-,.;;".,.;,;.:,;,,-,-,-,-,,,:1" i'j:jtj:U:i:j::j:i:;:;:j:::j:;:i:j:j:i:j:(:j):j:~:::j:j:j:j:j:!:j:j::: <br /> <br />BUILDER <br />SIGNATURE - Cv' cll.y---' (I<-"...P~ <br /> <br />COMPANY ~ ~.~~ <br />STATE CERT OR REGIST # y::::r <br />CITY PROCESSING # <br /> <br />;./ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE fA ,,~ /l~~ <br /> <br />COMPANY he.. c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />:/ <br /> <br />Jp;-7 <br />, <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY .6'~ <br />? ~~ STATE CERT OR EGIST # <br />W 0---.L?~/ - CITY PROCESSING # va- <br /> <br />,/ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />. COMPANY de.-<- <br />~~ STATE CERT OR REGIST # <br />~U~~ CITY PROCESSING # tj~ <br /> <br />******************** ******************************************** <br /> <br />\I <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />