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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 />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID #;2'1- J-t-()./-()Z/rJO~ oO/Pv- <br /> <br />~ PHONE <br />& . :~~~J?e -IT <br /> <br />SUBDIVISION <br /> <br />OWNER'S NAME ,H~...." ;t; <- <br />JOB ADDRESS ~oT ~~ <br /> <br />/':)..J- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <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: []SGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~~E HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o <br />M~': <br /> <br />/"LKYo <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />$0 jl~ ( <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE y.s ~ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] 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 />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] 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 />BUILDER <br />SIGNATURE t1/~_~ <br /> <br /> <br />COMPANY <br />STATE CERT OR EGIST # <br />CITY PROCESSING # ~ <br /> <br />I <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~~~ <br /> <br />COMPANY .~ <2..-. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />i~( <br /> <br />/ <br /> <br />PLUMBER <br /> <br /> <br />COMPANY <br />STATE CERT OR R <br />CITY PROCESSING <br /> <br />I <br /> <br />SIGNATURE <br /> <br />/~ <br /> <br /> <br />SIGNATURE <br /> <br />******************************~~***************** <br />COMPANY .~~ <br />~ ~~ STATE CERT OR REGIST # <br />~~~~~ CITY PROCESSING # <br /> <br />............*. .~*.~........................................... <br /> <br />v <br /> <br />MECHANICAL <br /> <br />tf!J <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />