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<br />OWNER'S NAME <br /> <br />~NC <br />,'53717 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />taod <br />C~{C. <br /> <br />7S/c, cI <br /> <br />PHONE (>?/5~- ?5'6"350/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JALTERATION ~EPAIR [J INSTALL <br />[J DEMOLISH <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />1COMMERCIAL <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK !l!/)Q /dCJ/Vr- ~,N"C' ~L:' /'f- Lt" ?fLLc" <br />BUILDING SIZE ~...u <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />OMOBILE HOME <br />[JOTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />,ggT7L/C <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 />[J 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 />o MECHANICAL $ <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION <br />'rI( OTHER <br />ti. FRAME <br /> <br />OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />htwJ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <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 />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 />