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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 Iflili1~ ; I LLf) . <br />JOB ADDRESS, 3 7 O~ ~ := ~ ;nY-C- e L> Ii <br /> <br />LEGAL DESCRIPTION' LOT IS) I... !"\iA BQ~fkI'l9 ( '\.. <br /> <br />. PHONE ~~~ - ~~ 3~ <br />7J~pb" , h\ L -I <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />rJ COMMERCIAL <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 />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RE.SIDENTIAL: <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 SURVr:Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRIC1,L <br />[J PLtTlvlBING <br /> <br />HOOJ< u" <br /> <br />AMP SERVICE 1M <br />5'k c;.erueK-A,oA..,' <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o MECH1\lH CAL <br /> <br />$ <br /> <br />VALUATION OF MECH~~CIA~ INSTALLATION <br /> <br />o GAS <br /> <br />o ROOF'ING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHE:O FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />GQN~GTP <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />**k*~**.~****************************k*~***~*********************** <br /> <br /> <br />ELECTRIC :AN ~ COMPANv-!J-rtll,c E/..EC/~ . <br />. ~ STATE CERT OR REGI ST #.51? - 7':;-1 <br />SIGNATUR. / / ~-) CITY PROCESSING # 02"37 <br /> <br /> <br />~ ............................................................\..... <br /> <br /> <br />PLUMBER COMPANY <br />STATE CERT QR REGIST # <br /> <br /> <br />SIGNA'['UHE <br /> <br />CITY PROCESSING n <br /> <br />**************************~*************************************** <br /> <br />SIGNA'fURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />