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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />r7() - 7<)23 . <br /> <br />DATE RECEIVED /I,1t 7/ ? '7 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME m ~ U r J (" c:: JiJ. [) e roc::: c:/( <br />JOB AD~RESS ~ <br />.....-:a.. <br /> <br />LEGAL DESCRIPTION: LOT (S) /q7 BLOCK <br /> <br />PHONE~ /& /99 <br />I ' <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 5/Je..J... U / h Jl/ ROD t1r, poe>-f'. <br />BUILDING SIZE J Q)t ;) "3 SQUARE FOOTAGE ;;;"7 ~ <br /> <br />HEIGHT <br /> <br />J'II <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 />~ILDING <br />~ECTRICAL <br />~UMBING <br /> <br />$ ~~ooo <'to <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />I~ JLJ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~~<; ( <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />.....:::::::.~~.....~..... <br /> <br />STATE CERT OR REGIST # <br />SIGNATURE -. CITY PROCESSING # /714 <br /> <br /> <br />PLUMBEll , H:'6***~'''''''''H'''H'''''H':::::::'o;;Z;'7~ <br /> <br />, -/J ~-7 __ STATE CERT OR REGIS;' # <br />SIGNATURE Ot/ ~ ; CITY PROCESSING # ~ (/ ~ <br /> <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 />