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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ,? -;2 -9 Y <br />PLANS REVIEW FEE /....{;; cJ"V <br /> <br />OWNER'S NAME ,J ~ ~pA I!)OIU?u......,) PHONE I'rr-?- - yo ~ <br />JOB ADDRESS S-~/o ~.i:J S~- <br />LEGAL DESCRIPTION: LOT(S) I ~/~ Jf!b BLOCK"7 SUBDIVISION C:J1 CJ I Z{~J. ~&././;;,. <br />PARCEL ID # 1/- 2:., -l.,J- 0010 - 06700 - 0/5"0 (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br />DSIGN 0 MOVE 0 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 /> <br />~OTHER <br />GAI2A~f <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />AI 'L, \ 2 2 ',_, 3? ( <br />DESCRIPTION OF WORK -11L~~ ~ ~_L <br />?2/"3?f <br />BUILDING SIZE Q c _ c.. <br /> <br />.D ~ +/3 -/-c.A G A/C.4? E- <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 />o BUILDING <br /> <br />00 <br />$ 24 DO 0 - <br />/00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />)( <br /> <br />FLORIDA POWER <br /> <br />tJ <br /> <br />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 />P(FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ NO <br /> <br /> <br />.. COMPANY. {/) <br />J.) J1 /l} --1 ! 1":';1hLA STATE CERT OR REGIST # <br />SIGNATURE (}J,/-i..iJ t:VIYlId"-Jr;/I/f,( f/,1_~CITY PROCESSING . ~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN(\ ----; COMPANY O-ei/l.0t'$ ~i/\QJ -.2( . <br />) ~. STATE CERT OR REGIST # "to -(:JO('>C~r / <br />CITY PROCESSING # 3;;,L 8:' ?: v <br /> <br />SIGNATURE <br /> <br /> <br />**************************************** <br /> <br />BUILDER <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** * ** * * * * * * ** * * * **** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />j .; .;:..............;~.::;............ **.. **........ **..... .~* **... <br /> <br /> <br /> <br />." ':', . .~ I t,l!)t!Ol", ,. <br />..u:E l[! '",.(,.,.. ,;.. <br /> <br />" ~~. .~~~,~ <br /> <br />.. <br />