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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />7/5-7)23 <br /> <br />DATE RECEIVED /141"1 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ;&6eY'Y O.-f'1Ye?ft%rp, <br /> <br />JOB ADDRESS ~'3Cf 63 0 c...h 0.. N~~ f<o~ d <br />/ <br />LEGAL DESCRIPTION: LOT(S)~ ~q BLOCK <br />PARCEL ID # J V - J' ~ ;; {- 1')Qs-; P n0L5 e... ~ <br />c..J - ~G0,.. 1199 <br />WORK PROPSED: ~EW CONSTRUCTION DADDITION <br /> <br />PHONE <br /> <br />ZePh!j YAJII~fh.D (j=mPrrA./J to;~ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />YYLOt-oy <br /> <br />f O'("-r- <br /> <br />..., d' X c..L l..L ' <br />SQUARE FOOTAGE ~~ - + T <br /> <br />HEIGHT <br /> <br />/I.J..' <br />, <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />Gt'ELECTRICAL <br />s!'PLUMBING <br />D MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ ,10-,g/~ /50 <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />SIGNATURE X <br /> <br /> <br />COMPANY.1.t~Z ,t:JL(..L~~ -I:Pi~lArt;.s <br />STATE CERT OR REGIST # - 0 ~ <br />CITY PROCESSING # ~5 CJ 7 <br /> <br />BUILDER <br /> <br />************************************* <br /> <br />SIGNATURE <br /> <br />COMPANY [)t)tJju'tv ~ /eC-, <br />STATE CERT OR lEGIST # <br />CITY PROCESSING # /1' f f <br /> <br />I , <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUHBER , ~. /~ ?' <br />SIGNATURE{n7~.~ ~( <br /> <br />COMPANY ~ fA. / / S '{] I t.I. WI i /(!j <br /> <br />STATE CERT OR REGIST ~ <br />CITY PROCESSING # ~/I~ <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 />