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<br />" <br /> <br />APPLICA~ION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER~ S NAME A-. At<.p. V ~t) tJtJ<.KMA,.J <br />JOB ADDRESS 3qtJ~J 3-- AI/I: <br /> <br />C:~~H~ tf)~r:.;.. <br />, <br /> <br />/'--L <br /> <br />7~d.-.;t/y.-() <br />..:S ~ 5<;1.0 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />P.:R.S~c~~}D #I /A '..1~ - ~ ) "/JOb/!) -0.39D~ - [)t>~b <br /> <br />WORK PROPSED:~EW CONSTRUCTION <br />DSIGN <br />PROPOSED USE~GL FAMILY DWELLING <br />OCONMEHCIAL <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />D.REPAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI-FAMILY <br />o INDUS'I'RIAL <br /> <br />0#1 OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D <br />. I <br />DI~SCRJ P'l'ION OF' WORK tLJ <br />> ~ ( <br />BUILDING SIZE Ie yo ~-' <br />. / . <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />fA) fJO iJ It)...} <br /> <br />;::1-- A..J t2./.!!.- . <br />, <br /> <br />I <br />4f D Lb--"-- ~ <br /> <br />SQUARE FOOTAGE <br /> <br />~ <br /> <br />HEIGHT <br /> <br />/(? <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 PI~~S & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />'I<I//::fl)~ a- <br /> <br />F <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUMBING <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br />SIGNATURE <br /> <br /> <br />~()~qtg;R}tSI;,~,~~~".., "''';;.,T::',;;:'i!i:r,< <br />o tdl )J e.12. _. <br />#. <br /> <br /> <br />BUILDER <br /> <br />CO~PANY <br />STATE CERT OR REGIJT <br />CITY PROCESSING #I <br /> <br />************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*****************************************k************************ <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****~************************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********'******************************************************* <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING #I <br /> <br />***************************************************************** <br />