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<br /> <br />PLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />At Cb~; /9ff:t <br />rJ rr- ~1~ <br />DATE RECEIVED //-/g- ~l <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Gt..(:;)~ }.)t:.,l..--SO,.J <br />JOB ADDRESS &/ D 9 SILV~ OPrc.s. ~ <br /> <br />PHONE '17 C) - 8' 5d-'1 <br /> <br />LEGAL DESCRIPTION: LOT(S) 6J-. BLOCK <br />PARCEL ID # ()3"~~:r.;2J- OldO-OOOOO-OQdO <br /> <br />SUBDIVI SION .s I LV EYL 0/\ fLS <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />9D. ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMI L Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />At:>fJlI<JC:> 00 ~Cf!-~ t200AA.. <br /> <br />BUILDING SIZE __l~ i ;HO <br /> <br />SQUARE FOOTAGE <br /> <br />~"Io <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 />~ BUILDING $ c::J 4-00 ,00 VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />0 PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS D ROOFING D SPECIALTY ~ 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 AREAD YES D NO <br /> <br /> <br /> <br />"~~~fA1'in:i:'''' ... <br /> <br />COMPANY C; . L.. S Tei E- Co I.) $, Tt2.<X-Tl D~ <br />STATE CERT OR REGIST # CPc>-Co;}-ifI30 <br />CITY PROCESSING # 30S;1:I./JOJ ~ -f-'r; A"./uh) <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE r-~if-~ <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 />MECHANICAL <br /> <br />**********~******************************************************* <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 />