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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 11 + tT t:'\ \<:=> ltS1 ~ +~ <br />JOB ADDRESSJ--c'\- Z.3 ?~e;~q.~ <br /> <br />PHONE 'es \~llcS'2-2(7c, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # ()~-21o-7\() \ ?{J~rrrtf)-O'2.. 30 (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: '1:5NEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />SUBDIVISION <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />o RESTAURANT <br /><'"' <br />DESCRIPTION OF WORK ~~ ~ <br /> <br />BUILDING SIZE 8(J 'f ~ <E; <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />~ev() (lbbl' Ie h~-Q. <br /> <br />SQUARE FOOTAGE c9, ) DO <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 FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />~BUILDING $ ~SC() VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL ~oo AMP SERVICE 0 FLORIDA POWER 'tr W.R.E.C. <br />~ PLUMBING <br />-%l. MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />fA OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~NO <br /> <br /> <br />BUILDER.. ..... <br />c.-- <br />SIGNATUR~ <br /> <br />'.. ~c::~:=~-=-:-=-~ <br /> <br />- ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST jt <br />CITY PROCESSING # y~ <br /> <br />/'--., <br />***************************************~**~*********************** <br /> <br /> <br /> <br />::=~~-~~.... ~~~~~~R~ <br /> <br />~ CITY PROCESSING # \~'1 <br /> <br />****************************************************************** <br /> <br /> <br />PLc__n___~~ ~~~~:'~~~ :t;EG:-:~~ <br /> <br />SIGNATURE t. - - ~ CITY PROCESSING #2'1 <br /> <br />* * * * * * * * * * *.* * * *:.~ * * * * * *'* * * * * * * * * * * * * * ** * ~* * :t;:"')*z** * * * * * * * * * * * * * <br /> <br />MECHANI~____ ..-'-- ~ COMPANY < A co <br /> <br />STATE CERT OR REGIST # <br />SIGNATURE ~ ::-> -- CITY PROCESSING # /1 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />