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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 ;IE (L IS GILT S c.h fI nJ ,:::- R 1...-1 <br />JOB ADD RES S_ \,g 9'& 1-4- (l)/~ /9 /.bt..J 6 (5 D )i 00 fJ <br /> <br />PH;NE <t /3 - 7 f s- ;zq~ 3 <br />;z ~ /.?/JUff hi ;"'/..5' ~ Q3s'" <-10 <br />, /.- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it <br /> <br />(OBTAIN FROM PROPER~I'Y TAX NOTICE) <br /> <br />WOHK PROPSED: DNEW CONSTHUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL r'A.l>.fILY DWELLING <br />o 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 />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVP:L <br /> <br />Reflq- ce A .I ( {A Yl ; 1- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAIJ: <br /> <br />ATTACH (2) PLOT PLANS & (2) SE;1'S Ot' BUILDING PLANS & (1) SET ENERGY t'ORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SUHVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />Al'IP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />ff !1ECHANIC.lI"L <br /> <br />$Ir Q74. <br /> <br />06 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o G}\S <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED F'T,OOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />c <br /> <br />", ,', ", '.. '.-> "'0." ":::,'':f _',::.-:.'":,';.;,0:0''' u:,:_:.::_::_.,,,,,_,:~,,,:".:'c:' -::"')'-,?"'" <br />CON''r~C~~,:I$aq~+<m <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />******~*****~****************k******k***************************** <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 />SlGNATURE <br /> <br /> <br />SIGNATURE <br /> <br />O'rHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING it <br /> <br />SIG!!ATuRE _ <br /> <br />*************~*****k********************************************* <br />