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<br />APPLiCATiON FOR PERMiT <br />CiTY OF ZEPHYRHiLLS <br />BUiLDiNG DEPARTMENT <br /> <br />J1hJ/~q <br />DATE RECEiVED - --- <br />PLANS REViEW FEE <br /> <br />OWNER'S NAME {9l.AtJfJ <br />JOB ADDRESS 370b1 <br /> <br />!-fofL(2 tJ ,J <br />LAtJPI5 !J-V,-:: <br /> <br />PHONE f]fz- I f{gfo <br /> <br />Lor g> z- <br />SUBDIVISION 6lJMIf) !-IlJ(LI Z IJtJ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 3lf'2S"-2f-OOtO- OI300-0fllo <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />~DITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE 0 DEMOLISH <br />4~TI-FAMILY 0# OF UNITS <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~HER <br />AWJIII i ,lIv-"\ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK tox 10 SrA~/:;\I /MOM. 101(/0 uJ/"UM1fA. ?DIC. 2J./ r.IJ.OO~( <br />&00 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />~ILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />JI J O~(), /)0 <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRI CAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANI CAL <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 />~HER AU/#!. IN C/ h'l <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />J1^j 1~ ~ <br /> <br />COMPAlr$t(+- (()JJ$r(t den {);o/ &F a-:"l.Ifll.Ik. f( .. <br />STATE CERT OR REGIST # c/3co '5'7'7 !'Z- <br />CITY PROCESSING # 2J.p <br /> <br />BUiLDER <br /> <br />****************************************************************** <br /> <br />ELECTlUCiAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />