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<br />OWNER'S NAME <br /> <br />Co ~v C ( /t! <..=-- <br /> <br />41[~ <br />APPLICATION FOR PERMIT 11 ~ ~fi J <br />CITY OF ZEPHYRHILLS {!;r D Q {?;; ~~ <br />BUILDING DEPARTMENT ~ !'/ "bD~TE RECEIVED - 0 - // <br />~ ~U V..7. .. PLANS REVIEW FEE <br />~~ . \ q1J1 ~1t<, ;'/ ,:{ & _ ? = <br />Irt./C', q;\ v .~~5~HONE (<-' v' ~ Ie) 7 <br /> <br />JOB ADDRESS <br /> <br />Fl 3 c') ~ <br /> <br />O-A-c-- c. <br /> <br />.c c. c/ Qr <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTATN FROM PROPF:RTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />~SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />'~OMMERCIAL <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 />DESCRIPTION OF <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK T~;7(-U (../) tv" 1'U S I (;- v\/ <br />:20( <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />o BUILDING <br /> <br />$ <br /> <br />/000.00 <br /> <br />, <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 />o 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 />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />$/ c;v't./ COMPANY /f>S'c:C, ;:-z C--<'". <br /> <br />/~""__ . . - ;'-,F STATE CERT OR REGIST # <br />SIGNATURE C/,rrx u t::- ..u.~ CITY PROCESSING # <br />~/b/ (J~ <br /> <br />**************************************************************** . <br /> <br />5:C:?f. ~f< <br />/~' <br />,!?:Saoco /rO <br />