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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 />6 +- c: v C- 'rlc Y\-\.. a.... '5 <br /> <br />PHONE 'I ~ ~ - 37 ) '-I <br />C- Aue.-. <br />SUBDIVISION C;q/ --+, <". __ <br />;,., 'YN:::.: <br />(OBTAIN FROM PROPF.RTY T~ ____C__ <br /> <br />(Ou (t- ~ 1..Ltk. V-e.. <br />BLOCK <br /> <br />JOB ADDRESS 6 LLb.- 'D,'.J I' S ,'~ n <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # IS--d t. -;}. /- 0;). 0 D - 0 0 DO 0 <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />gI INSTALL <br /> <br />DSIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />01 OTHER <br />6lA.b-D,'.,jJ ::,)'oYJ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK _F (" (\ C e I 1\ S + Q II c.. "- " 0 rl <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />J OZq(,.. <br />) <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 />D BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />I 7, ,;i ,:} o. Z> () VALUATION OF TOTAL CONSTRUCTION <br />, <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 />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />6('J OTHER ;;c nc e.. <br /> <br />TYPE OF CONS'I'RUCTION: 0 BLOCK <br /> <br />o 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 />D NO <br /> <br /> <br />· ..;"~()jl~Q~!ff~' <br /> <br /> <br />f!liill'!lliil!illli[[j!lj!jll~ljli,!! <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY A c me. 1=c-nr p <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />***********~****************************************************** <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER Fence. <br />SIGNATURE9V, ~q~~. <br /> <br />COMPANY A c (Yl p J-c Yl C f' <br />. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I q 0 <br /> <br />***************************************************************** <br />