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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 />JOB ADDRESS <br /> <br />r (lG?) I C-Attfh (i(('/j(jbi6 <br />51 5~ C/fU /3t.V'D <br /> <br />PHONE 7 J f-7t?5'''7 <br />'-2fiJl'lft'/ZHrUS" ,cc 33 S'f I <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />~REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br /> <br />[JMOVE <br /> <br />[] DEMOLI SH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />'tiCOMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[J# OF UNITS <br />[] SWIMMING POOL <br /> <br />[]MOBILE HOME <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />eeJ>LkCf 4- -)0 tV ~F W,o fJnucA-Co {; /I(c {/A/ If <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 />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />~ MECHANICAL <br /> <br />$ <br /> <br />'2/tf33.80 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: W BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />, COMPANY "/N/)I(/I7)V~c.." JIf'//c. tt'lJA/f7'Z.I4.c..n;A- <br />/ / STATE CERT OR REGIST # R;qtJP5!7// <br />~ I CITY PROCESSING # ~~~ ~ <br /> <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />****************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />