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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /1- Qi.- 9 ~ - <br />D <br />PLANS REVIEW FEE ~5~- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <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 />8 -[1M1 <br /> <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />g II"'')) Il f=t4YY'J 0- lZeSJ t:;l(C>",~ <br />SQUARE FOOTAGE CU/4 ~l HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />"5LJ 000 <br />Loo <br /> <br />VALUATION O~TOTAL CONSTRUCTION <br />AMP SERVICE ~ FLORIDA POWER 0 <br /> <br />W.R.E.C, <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />:2500 <br /> <br />, <br /> <br />VALUATION OF MECHANCIAL <br />~THER <br />~RAME <br /> <br />INSTALLATION <br /> <br />" <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />/ZODt/~- <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 AREAD YES <br /> <br />~NO <br /> <br /> <br />COMPANY \/ Mi. C ~~h\lGi: (D.,.) S~fL- <br />STATE CERT OR REGIST # C c:, - c. 05" 4Z <br />CITY PROCESSING # .s S~ <br /> <br />ELECTRICIANa ~ <br />SIGNATURE ~5' <br /> <br />- <br /> <br />COMPANY C ~ f'_ ~ )f::-C+<a L <br />STATE CERT OR REGIST # t;'R Do J 60 ~3 <br />CITY PROCESSING # ~ So t"./ <br /> <br />************************************~;i********:~*******;~~ <br /> <br /> <br />PLUMBER COMPANY (I/J12R-r( .\ VjC.~ yfll. I/f/ <br /> <br />STATE CERT OR REGIST #,~' . <br />SIGNATURE CITY PROCESSING # J8fr:l _ <br /> <br /> <br />MECHANI~********~***'***********************~~~;:~**/J*;~~***;h~*~~,:t~r <br /> <br />, STATE CERT OR REGI ST # CA-t:::. 05- 7 / / c:? <br />SIGNATUR ~ CITY PROCESSING # ~~- /1; l. ~ <br />f It-'" <br /> <br /> <br />***************************************************************** <br /> <br />"R <br /> <br /> <br />COMPANY \l ~t Cu~() \--e.UC.JI W <br />- // ~,.. /J /STATE CERT OR REGIST # G:. - C. 0'5'1. J 72- <br />~/~ITY PROCESSING # <br /> <br />/ <br /> <br />*********************************************************** <br /> <br />,./' <br />