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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED' I zIP/; r <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME /J!.L4AJ-<- &d~ PHONE 8/3 77;1 tJV97 <br />JOB ADDRESS 38'b.5/ loAA- ../)1', Lot-If: ~,a.lf1'J~ <br /> <br />LEGAL DESCRIPTION: LOT(S} BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />Os I GN <br />USE:~L FAMILY <br />o COMMERCIAL <br /> <br />~ITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED <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 />~ ~ D RES~URANT & HEALTH DEPARTM~PROVAL <br />DESCRIPTION OF WORK 1:~~ ~~ ~ ~ <br />BUILDING SIZE J 5< 2- 'II' SQUARE FOOTAGE p 5 C) HEIGHT <br /> <br />r <br />JI <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />~ PERMITS REQUESTED <br />$ diP?! t) 0 VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <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 />~EEL 0 OTHER <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />.;< IY) ~/l>t.JU ~ <br /> <br />COMPANY n Wt\,fr <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />- <br />, <br /> <br />MECHANICAL <br /> <br />* * * * * * * * * * *,* * * * * ** * * * * * * * *** * * * * * * * * * * * * *** * * *** * *** ** ** * ****** *** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHIl:R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />