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<br />APPLICATION FOR PERMI <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />~B 2~ (CJ' 'f" <br /> <br />RECEIVED 'f/t7/l~ <br />PLANS REVIEW FEE <br /> <br />I' <br /> <br />OWNER'S NAME 1-1 {f /2.01- () lJ A' Jlo <br />JOB ADDRESS 11./ '3 t fY1 ALJ~C{-I (IF J){l, <br /> <br />PHONE <br /> <br />1-.oT 13'1 <br /> <br />SUBDIVISION I;""/~~(,O POl/'tlt <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # 1Jf-1&- ~l - .00 I.fD - 00000 -- 0 I :5'1 <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />~ITION <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 />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 />o MOBILE HOME <br />o OTHER ~/A.UPl <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF~K C4/lPlJIL;r . 1'lA' sep 61--1%5 ~ ,) -llooM. <br />I {fio>',2. U> ~:1 I <br />BUILDING SIZEf,( 1/-/lf}Cfvl I~ Gt.NI,flI>>tw S~UARE FOOTAGE 5sCc <br /> <br />HEIGHT.5Ec Pa~";> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~DING <br /> <br />PERMITS REQUESTED <br /> <br />$ Jo.D1-1.f5 <br />f <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 /> <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 0 NO <br /> <br /> <br />BUILDER COMPANY {3 ~ If C~T72uG-n ot-l ~ C(3'f./T(lIK Ft, <br />. M --17 fJ STATE CERT OR REGIST # Cl3co ~'77 rz... <br />SIGNATURE -d J ---L::L ~ CITY PROCESSING # '24 <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN \ cl~' )Q <br />SIGNATURE0Gche &-c !DR- <br /> <br />COMPANY /iCE &LEC.~ <br />STATE CERT OR REGIST # G:. 0/ <br />CITY PROCESSING # If? ? <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />