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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE IUEC'UVBD 12/,6/9 7 <br /> <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />G LE--tt'1'( M CCflR lJ'j I( <br />!:b20 /S7 <br />10 <br />JI"'2~"2.L-oOI{J-OSO()o", () rOo <br /> <br />PHONE <br /> <br />7rf'i?6035 <br />33,t).1' I <br /> <br />LE' .5 s .:5c)(./":'P 120' <br /> <br />JOB ADDRESS <br /> <br /><_.~- <br />J I . <br /> <br />"Z-El)f/ f t: H [ '- t.5 <br />BLOCK 3 D <br /> <br />FL- <br /> <br />LEGAL DESCRIPTION: LOT(SI <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />WORK PROPSED:~NEW CONSTRUCTION <br />Os I GN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL 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 /> <br />~ OTHER <br />G-IiAA G-E <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />!?Uf'-IJ G4f<f.JGe' <br />~ <br /> <br />X 2-3 <br /> <br />SQUARE FOOTAGE <br /> <br />322. <br /> <br />HEIGHT <br /> <br /><2' <br /> <br />BUILDING SIZE <br /> <br />/'1 <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (21' 'PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (31 SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />) 700, <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING <br />o ELECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o 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 />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />A tYbb1 /{{r!~~ <br /> <br /> <br />BUILDER <br /> <br />OW(I)E/C <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />COMPANY <br /> <br />ELECTRJ:CIAN '~ /It/? ~ COMPANY ow Nt; R <br />Y ~M./ STATE CERT OR REGIST # <br />SI GNATURE - . . - -. '\( _ CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />***********~****************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />