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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />, BUILDING DEPARTMENT <br /> <br />'It...(- 2 e.) zf <br />DATE RECEJ:VEI> r; (23 /71 <br /> <br />PLANS REVIEW FEJC <br /> <br />OWNER'S NAME ~oJ/: i: 1~t~ rNE <br />JOB ADDRESS .-i /4. C /1: - ~/2--)I A/~ l! 3 J Lo..J. ') <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION Emr>IlIl!{"'J A~I <br />PARCEL ID # 1LJ - if:, - :)' - D020 - 00000 - L" 1 IJ lJ (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/3///C/( . <br />. / <br />J'T X 3S- <br />. <br /> <br />/lncht'Y; flit-( m /J <br />SQUARE FOOTAGE if 911 <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />~ BUILDING <br />~ ELECTRICAL <br />IS PLUMBING <br /> <br />$ ? OOt) <br />J~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <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 />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES J8 NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR <br />CITY PROCESSING <br /> <br />BUILDER <br /> <br />*********************************************************** <br /> <br />ELECTRICIAN b ' fl <br /> <br />SIGNAf'URE--x . ~?J Sa.( A . <br /> <br />COMPANY J-fu1Vl.P (j fJ..l r-..RJL <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY ~ e1eiLf/? til r1J ~ s:;1r <br /> <br />STATE CERT OR REGIST # '?:it DonG 1(/9 <br />CITY PROCESSING # <br /> <br /> <br />PLUMBER <br /> <br />******** <br /> <br />********************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />A ) I {l STATE CERT OR REGI ST # <br />tv CITY PROCESSING # <br />I <br /> <br />......kJ;r~......................;;;;;:;~~:.~~.~~~:::.:......... <br /> <br />/ CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />