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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ t;~1 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME /JIb. U- q It' t! (5 J4i~ /(1.; tlar I< <br />JOB ADDRESS !((S (a. (oS-k S{ <br />LEGAL DESCRIPTION: LOT (S) I ~(S BLOCK <br />PARCEL ID # 2 '-f ~2~ - 1, - 00"S 0 .- 0 DC)(!) 0 ~ Lo1 I V (' <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />M:t~z ~) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />oMULTI - FAMILY <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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(tJJI+ ere l~ <br /> <br />F <br />I 'LX ~Ol <br /> <br />S(U b <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 />avS'UILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />(5 (jO <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 />$ <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 AREAo YES 0 NO <br /> <br /> <br />:~:j:l ,;,",:r:iIj:1:;:[[ElP:j:l <br /> <br />, - 1- <br /> <br />SIGNATURE <br /> <br />J,4L <br /> <br />.....1:!:~:j:;:~:H:~:j:~:1:1:f:j:f:i:!:i:j:j:i:!:!:!:j:!:i:j:!:;:j:j:;:;:j:!:j:j:j:;:i:!:i:!:!:j~:!:t:I:1:;:,' <br /> <br />COMPANY S~ ~ ( ( Cou <, +- _ <br />STATE CERT OR REGIST # U <- c.R. C('j 5 23/fl <br />CITY PROCESSING # '2'?" b <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 />