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<br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME jV16t y N ~ Y e Y t'... r( e r S "e. \/2/ <br />~7}I06 !J.:<{l.A~L...Terr Ref. <br />LEGAL DESCRIPTION: LOT(S) /.... of '3 I BLOCK <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br />~OVE <br /> <br />[J SIGN <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />PHONE &-u - 7 I :{ - 6 0 gO <br /> <br />SUBDIVISION{' ~U1-1TyV ",~ff:J SOI-t.i"jz, <br />I <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />I0MOBILE HOME <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/Ve ~/er <br /> <br />frt'j7)a.r ~~ <br />, ---1 <br /> <br />}:)t I' 5T ; "l--t ~ w, '1-J.. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT <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 />[J BUILDING <br /> <br />t. ;- 00, ~6 <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J W.R.E.C. <br /> <br />/CPO <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />[J FLORIDA POWER <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br />...........- .....-. <br />......,.".......,.."'.-..-.--.......... <br />....-...".." .... <br />'ii-:ii::-!::::".'--' <br /> <br /> <br />BUILDER ~ <br />'\ SIGNATURE~,fL1 Jr:-.~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELBCTRICIAN ~ <br />\ SIGNATURE-:Jh <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />\ SIGNATURE ~J 4.~~ <br />, <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * ** ** ** * *.** * * * ** * * * ** * * ** *** * ** ** *** * * ** ***************** ******* <br /> <br />MECHANICAL <br /> <br />~SIGNATURE 7J1J k~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />