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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',;2. lC-o r-..:) <br />JOB ADDRESS I ~ t ~ G:, <br /> <br />Ji A c:. c.>~e.l L <br />l D <br />A LL.. \'- 0 CiI.. d <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT (S) 7,4 BLOCK Ob] 00 <br />PARCEL ID # ~ T-J? - f-X/ 0~A (JtJl'(' <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI - FAMI L Y <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />te fit elf ((2 <br /> <br />t~ I s'6tV) <br /> <br />6? Ik Ie a,r> <br /> <br />}tk Utv i i <br />. <br /> <br />/ Z 1:- 7~,.J <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY 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 />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ ~j\(o't) <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />c;:r MECHANICAL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~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 />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * ** *** * **,** ** * ** * *** ** *** *** * * * * * ***** ** *~tr*~*N*'** * * ~* ** d <br />""CHAHI~ COMPANY . , " · ~ <br /> <br />STATE CERT OR REGIST # <br />SIGNATUR '. ----t~ CITY PROCESSING # 3~; <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />