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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />7- 1- qJ <br />DATE RECEIVED - - 1-- <br />PLANS REVIEW FEE <br /> <br />. .-.-- <br />OWNER'S NAME "'/If) of:.::a I /c <br />JOB ADDRESS L. 0 -r /...7 7 <br /> <br />OAKJ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ~$I...26 -.2./ <br /> <br />6'o.iu -00110 0- /3? <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />\ <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />GtMOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK /J..,;(. IC /1'10~"<.. ( <br />BUILDING SIZE /"-,KYO SQUARE FOOTAGE 'i % c.l <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <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 /> <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 />BUILDER <br />SIGNATURE Ur:..::~ ~/ <br /> <br />COMPANY <br />STATE CERT OR EGIST <br />CITY PROCESSING # <br /> <br />7'"0- <br /> <br />.../' <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />tJo:y-'d'--?~ <br /> <br />./jc..-~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />/ ?it; <br /> <br />\---/ <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY 11~ ~_/./J' <br /> <br />/.r- _~ __~~ STATE CERT OR REGIST # <br />~~ CITY PROCESSING # <br /> <br />V" <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />. COMPANY /'9 <:... <- <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />.U/'~ LJ_5~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~ <br /> <br />'IS- <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />