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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUIlDING DEPARTMENT <br /> <br />~. <br />DATE REC VED <br />PLANS REVI <br /> <br />OWNER'S NAME ~, L \> ~O 0/\ ~ <; G ~ M. A ~s. f'-( <br />JOB ADDRESS ~G~<<-{ ~U...v~ C).4-~~ ~~UD <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />Os I GN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 MOBI LE HOME <br />o OTHER <br /> <br />r.::::J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~~\C,,; <br /> <br />~- <br /> <br />~ Q~ ~ K.L...Q.<\- <br /> <br />c;;: ~ ~ 'i'e ~ , <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (21 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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />tB-ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o 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 />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNA~~ ~ <br /> <br />COMPANY'--\'-\\..le> ~ €-c....'l-, c:;.E::~ . <br />STATE CERT OR REGIST # 0 <:'>0 "" LC.~ <br />CITY PROCESSING # ~Co <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~ <br /> <br />SIGNATURE <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 />