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<br />JOB ADDRESS U d OS 'Z-e.Phy dd<f- <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # 0'3-2.4-2\...OI3D-tf)OOCJ,....QI,O <br />WORK PROPSED: ~EW CONSTRUCTION <br />oSIGN <br /> <br />OWNER'S NAME <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /1- J - 9~ . <br />PLANS REVIEW FEE <br /> <br />PHONE <br /> <br />\~K <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />~BILE HOME <br />o OTHER <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 />DESCRIPTION OF <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />(} PLUMBING <br />tb MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />C' <br />WORK ~ <br /> <br />;2.~~u ~ <br /> <br />(}16 b ('\.-e <br /> <br />h~ <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE <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 />$ <br /> <br />02 ,DOa <SO <br />~ <br /> <br />o <br /> <br />VALUATION OF <br /> <br />TOTAL CONSTRUCTION <br />FLORIDA POWER ~ W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />~~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br /> <br />********************************************~*1*~*~************ <br /> <br /> <br />PLUMBER _____.~~ COMPANY~ ~ <br />~ ~~ _ STATE CERT OR REGIST # <br />SIGNATURE l-- CITY PROCESSING # <br /> <br />BUILDER <br />SIGNATURS <br /> <br />ELECTRICIAN <br />SIGNATURE~ <br /> <br />MECHANICAL <br />SIGNATU~ <br /> <br />OTHER <br /> <br />o NO <br /> <br />~ <br /> <br />~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * * * u u u* u u* * * * * * *u u u * u u g* u* *.** * * * * * * * * * * * * * * <br /> <br /> <br />~ COMPANY 0, C'\o.-.,.L <br />") STATE CERT OR REGIST # /(/1 <br />CITY PROCESSING # <br /> <br />.~ <br /> <br />~ <br /> <br />* * * * * * * ** * *.** * * * ** * ** * * * **** * * * * * * * * ** ** ** * * ~ ~*ti' 12'- 3* **** * * <br /> <br />~ ~ COMPANY <br />STATE CERT OR REGIST # /1 <br />~ CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />