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<br />\J <br />APPLICATION FOR PERMIT Lc-'Y. \~b~ <br />CITY OF ZEPHYRHILLS \Q rr <br />BUILDING DEPARTMENT DATE <br />PLANS <br /> <br />.7/"'- -76'23 <br />RECEIVED 1o/; I'? '9 <br /> <br />REVIEW FEE <br /> <br />OWNER'S NAMEJObe.n-~Q l')SC h <br /> <br />PHONE <br /> <br />W1,q. <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION /'lnf//72/cI Po//~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />t.j) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br /> <br />o SIGN <br /> <br /> <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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 />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~,j ~ fJ.o~ ( P~_) <br /> <br />55() ~ bi- SQUARE FOOTAGE Iro <br />IJ <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 />HEIGHT <br /> <br />-;1 <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />/t1(()Q,ob <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 />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 />IXV'fRAME <br /> <br />o STEEL <br /> <br />u;n5'THER A 7u rn; ()U IY1 <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />BUILDER <br /> <br /> <br />COMPANY !+ -to 7-- 4)0/7")/ /J () #')7 rodl/cf5 <br />STATE CERT OR REGIST # ~J<- GO c::)~ <-J16 <br />CITY PROCESSING # ;J Sq I <br />--c ;;tt'~tU <br />*************************************************************** * <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />