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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 />OWNER'S NAME <br /> <br />_5-~J1 ,I h CQ -/I /~ <br />fo;l.d-.f ~ ~ <br /> <br />,( 6r't-C v~ <br />raN ~ If <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />0L{ <br />0)-26 - 2./- 0200 <br /> <br />~ CONSTRUCTION <br /> <br />BLOCK <br /> <br />PHONE 1 5j'~} G;..l. S-? <br /> <br />5, Ive: r DC( K5 UI //(j~e <br />. / <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br />6 b "'Ie (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br />00000 <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />o RESTAURANT <br />DESCRIPTION OF WORK J? e '-'- 2 be-c/. <br />BUILDING SIZE lex X C) g 'g ,. <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />/ ':.(. h-Q tn e- (! "., A' C; -f/ <br />/ <br />SQUARE FOOTAGE 77t /. .:.<-Jl... ;:Ur(/ HEIGHT /0 ... <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />ILy1mILDING <br />Q---ELECTRICAL <br />~~UMBING <br />~HANIC.n.L <br /> <br />$ !...(({)V[) <br /> <br />It) U <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~LORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />~qoc <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~FING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />ELECTRIC <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # Z <.") C".{ 'Z-" <br /> <br />SIGNATURE <br /> <br />.uu.....u..::::::u.;;;;ra~~..& ~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ,"- Vf? V <br /> <br />************************************************ <br /> <br />PLUMBER <br /> <br />Ci!r4>~~6Lc <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />SIGNATURE <br /> <br />*********************************************************^******** <br />~ '~, COMPANY 501.)7;( ~ L'[)K....{--"'l.--l. ~ I' <br />~~y ,~/ !' STATE CERT OR REGIST n ~~jtOO <br />~~ ~z--o-, CITY PROCESSING # _'_ <br />~ <br /> <br />./- <br />L., <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />C::TGNATURE <br /> <br />***************************************************************** <br /> <br />/} <br />It/fe:, _ t" <br />/~_~/L'~ <br /> <br />COMPANY /:'hA /,R1~,.f:h.~.h {O>-L-f'. <br /> <br />STATE CERT OR RiG'IST # ./:...lCc.'oyv8IX <br />CITY PROCESSING # <br /> <br />"2 uS? <br /> <br />OTHER <br /> <br />***************************************************************** <br />