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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 DONItL..D L. 'f/- BerrY L. WILSOAJ <br /> <br />PHONE 780 - 'I ~ '14:> <br /> <br />JOB ADDRESS \.~95l./7 Q(.)flRTZ D~. I ZEPltYR.IfILLS l FL. <br /> <br />. q ~s-tJo <br /> <br />BLOCK <br /> <br />SUBDIVISION EfVlCRFlLD PonJ.,- <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />~ADDITION <br /> <br />DALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />Os I GN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK GWss ROOM'" tJECI<. . Sit-ED ON c;(ISTlNCh CONcReTE SLflB <br />. <br /> <br />/q1vql 17/ ....;., <:71 <br />BUILDING SIZE __^"'_ SQUARE FOOTAGE ~ HEIGHT 0 <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (31 SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ /~J goO, 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />[] 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 />o FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />[] NO <br /> <br /> <br /> <br />BUILDER ~ COMPANY J"OHAl C/JRRflN I-tUJM. -(-1'1.#, cSE:"T-OP <br />~' /J STATE CERT OR REGIST # LFr07&.34-000()<ltllItI <br />SIGNATURE ~~./'..t..-.-- CITY PROCESSING # JL('10 <br /> <br />****************************************************************** <br /> <br />f ELEC <br />SIGNATURE <br /> <br /> <br />COMPANyfir- ~ S {:; C 1,+ {; ~ <br />STATE C RT OR REGIST # eX) '/. <; -/7 <br />CITY PROCESSING # 11(;, l? <br /> <br />****************************************************** <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 />***************************************************************** <br />