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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. ~, <br /> <br />DAm RE""IVBD /1-.2. ~ ~ X <br />PLANS REVIEW FEEtJ I <br /> <br />~ .::r;-M, ~N~ ~ <br /> <br />OWNER'S NAME-r;s:;C,&:,u"'C"..::..1b1it. \~bC.~EN'b~ u~~ \ K~. <br />JOB ADDRESSS3.:2Y ) ~T,,\ ~,...., 7F.p+1I2.l-l",.I..~ I t=:'"........ 33S.l{o <br /> <br />PHONE 7;1.7- ($:?,I::('" _ S'.,;z ~ 7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />t) l1ocORTATN FROM PROPERTY TAX NOTICF.1 <br /> <br />PARCEL ID # Jl-2lo -;l (- 00(0,- I1-LlOQ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />J81ADDI'l'ION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br />~~.~ \\.e~S' <br />PROPOSED USE: OSGL FAMILY DWELLING r,g!MULTI-FAMILY 0# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK F'l~T6'''''l-.\''' "- 1::h\J N.\~ "- C)\,\. "^-/A. .....""-- <br /> <br />'.' ., <br />BUILDING SIZE }3 ~ ~ )( J./ b' <br /> <br />SQUARE FOOTAGE <br /> <br />S~.~ <br /> <br />HEIGHT <br /> <br />~' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D?J BUILDING <br /> <br />$ <br /> <br />IS~o.~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~ ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />fi(I FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ NO <br /> <br /> <br />, ." --"" ".----.. <br /> <br />(~Bt1ILD~ <br />SIGNATURE <br /> <br /> <br />COMPANy-rA:J;(f~I'L'T''''O ~ ~~~~L1{,E \\Jc... <br />STATE CERT OR REGIST #{ <br />CITY PROCESSING # <br /> <br />- <br />*' dl1,'t-*~~* * * ** * * * * ** * * ****** ********************* <br /> <br />(/: ELECTRIC~ .J <br />SIGNATURE <br /> <br /> <br />COMPANy~g ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />******************************************** <br /> <br />PLUMBER , <br />SIGNATURE }/~//// <br />/.. <br />/' . <br />/"'~~~~'~5 * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * ~~~;;;~* * * * * * ** * ** * * * * * ** ** * * * * * <br /> <br />C,-=- .' -, STATE CERT OR REGIST # <br />SIGNATURE t..-// CITY PROCESSING # <br /> <br />,.~ * * * * * ** * ***** * **** ** ** * ** * * * ** *** ** *** * **** * ********************* <br />/- <br />OTHER '\.. /' <br />'\ <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />