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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~-/7'- 9; <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 1t/1/lFL ~E;Z; Ai / <br />JOB ADDRESS 3~5() Z-7?yL ~,<lNC <br />LEGAL DESCRIPTION: LOT(S) ~~ BLOCK <br />c2,;~ .:<t:. - 02/ - h"-nJ <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />~ 07 #tJ>y <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW 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 DEMOLISH <br /> <br />PROPOSED USE: DSGL 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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />?~K' ~deL Sc-7-c;:::>_ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />t:YBUILDING <br />a-fLECTRICAL <br />pr;LUMBING <br />~ECHANICAL <br /> <br />$ c::?7; 000 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 /> <br />BUILDER "."_ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />************************************* <br /> <br />ELECTRICI~I7/ ! _ il/(:!: f 1 COMPANY /t!-CT FLe~/c.. <br />Mf ~~~ L:/~ STATE CERT OR REGIST # <br /> <br />SIGNATURE ***** * * ***** *** ** *~ *** * ****~** * :::: * ::~::::::~*:***':~ ~******* <br /> <br />PLUMBE~ <br />'--,-, -, <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />d <br />/" ~ <br /> <br />#~ <br />~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**************~******:!********~ <br />COMPANY , G'" &-~ef" U/ C! <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 4IS-- <br /> <br />MECHANICAL <br /> <br />************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />