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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVXEK FEE <br /> <br />OWNER'S NAME 1-. () "- {~ <br /> <br />, <br /> <br />;: I-e./rll rJ ) <br /> <br />PHONE <br /> <br />JOB ADDRESS J..c. T /7,) 15 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # M - ~lo -d-. ( <br /> <br />SUBDIVISION b1.A.~lj c.:;T; OAr--(~ <br />1.-0+ (+ '"\ l f <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />BLOCK <br /> <br />()o '60 .- () U c') c."8 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[] SIGN <br /> <br />[J MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~r-(t.... MdJ", f <br />BUILDING SIZE fAX.35 SQUARE FOOTAGE Cj20 <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 E'OR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J F'RAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~ CU?-' ll~ <br /> <br />COMPANY <br />STATE CERT OR EGIST <br />CITY PROCESSING # <br /> <br />lfY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~~p~ <br /> <br />COMPANY /l c -e <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />6J~ f1~ <br /> <br />COMPANY ~ m. If :S' <br /> <br />STATE CERT OR R GIST # <br />CITY PROCESSING # ?i Y <br /> <br />PLUMBER <br /> <br />* * * ** * * *** *.* * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** ** *;!:1~~*** ********** <br />COMPANY <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />/#~ 8~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />