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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTYENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br />,[)....,/Z c.J}...,.s) J. <br />r';""l"f;J(1-- II~-" jI"/.Jt<I/f.. <br /> <br />/1 II- (' Gfl-t:J v;n f3' ~ Irr t. C. <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />&0)7 <br /> <br />/-.J.,4 {2Jl} 11 '/ S T <br /> <br />ZIZRJl/~1/IiU5 I rL,;. 33')4/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # O? - Z~ r < I, OOt 0 - I( 1-00 <br /> <br />bD4D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />~THER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />y M/~'/..; f3oy'5 <br />A/.,I/ 1'1! (Z CJ (/ r c )~ r- r 4 ,... } 0 VI2 ^ /' <br /> <br />PAi!12 <br />) Ji>l-f)r-t <br /> <br />, <br />I ~ )i <br /> <br />3t7' <br /> <br />SQUARE FOOTAGE <br /> <br />'J ,",0 <br /> <br />HEIGHT <br /> <br />'7 ' <br /> <br />BUILDING SIZE <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 />4j51'~Y- <br /> <br />PERMITS REQUESTED <br /> <br />dBUILDING <br /> <br />$ <br /> <br />2.) J S- 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANI CAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />rn<<)THER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />SIGNATURE <br /> <br />~~ J-~~ <br />y <br /> <br />COMPANY T/ r"VTl/j <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />U /1e ~-7J <br /># 6.(J-CO'-l77/;;J. <br /> <br />~~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />