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<br />OWNER'S NAME <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS / J- 9- ~ CZ <br />BUILDING DEPARTMENT Q~ATE RECEIVED . <br />l.J;?P I ~ ~ REVIEW FEE fS D~ <br /> <br />PHONE \ CJJ3) C) 73 21.05) <br />itshvJle IJI- t~'I1 Z-eph (l..;';II~ Pl 335l.fo. <br />BLOCK 00000 SUBDIVISION -.2J Ii i? 'P 01\/Is ~ It~~ <br />"', I- <br />PARCEL ID # 03 -lJ.' 2..1 . Olc.;;Q . U'-'~~:) "01 "'0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />\),{(l, \ <br />Lot 11o~ <br /> <br /> <br />JOB ADDRESS <br /> <br />Ib <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION DADDITION DALTERATION D REPAIR D INSTALL <br /> DSIGN o MOVE D DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~\.....,-,J~ ~~'-\t.~ ~~\6~~~ <br />lof&\ , <br />SQUARE FOOT GE -1Y ~) 7. HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />.0"ELECTRICAL <br />li PLUMBING <br />~MECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />15 ? ~ I CX:::::>OvALUATION OF TOTAL CONSTRUCTION <br />I <br />LaO AMP SERVICE ~ORIDA POWER D W.R.E.C. <br /> <br />$ <br /> <br />~7SLf) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D'" OTHER ~ ~1 <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />VFRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~NO <br /> <br /> <br />SIGNATURE <br /> <br />~ . <br />COMPANY <br />~ STATE CERT OR REGIST # · C:::r - C. 051 tqz. <br />CITY PROCESSING # .5S ~____. <br /> <br />BUILDER <br /> <br />E~=C~ ~ <br />SIGNATURE , 7 <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />C-T <br /> <br />C- b \ r to. ~~ c:...- <br /># ~ (2.. 001 C':l)~3 <br />~ 301>/ <br /> <br />************************************************************ ~ <br /> <br /> <br />PLUMBER / - COMPANY LfI-rt.~ ~S lumbl~ <br />/, J\ /)~ STATE CERT OR REGIS ; _ tJ <br />SIGNATURE (jV~I(/(; H.. , _ CITY PROCESSING #~. t)6~/ <br /> <br />MECHANICAL Q**~**** ****2********~***** *:********~~~;;;;.~* ****.-, <br /> <br />STATE CERT OR REGIST # <br />SIGNATURE E.:: . CITY PROCESSING # ~) 17 f! I /' <br /> <br />***** * **** *** **** * ** * * ********* * **** * * * **** *** * *** ***** * * * ** ** * ** I I v <br /> <br /> <br /> <br />OTHER <br /> <br /> <br />COMPANY V fr-L\ <br />'-'AA _ /./ STATE CERT OR REGIST <br />/~~ CITY PROCESSING # <br /> <br />C {) uS--hz,ucfro ~ <br /># c.. & - CoS; 1'12 <br /> <br />************************************************************ <br />