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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR'l'MImT <br /> <br />DATE RECEIVED <br />PLANS REVIEW I'D <br /> <br />OWNER'S NAME <br /> <br />G-rz.I'ho"'J If CJJ( '2. I ~ <br /> <br />PHONE <br /> <br />.".... <br />JOB ADDRESS L-f..-I I S~'1 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I D # 5 C( ~ ') 5 ~ 2 f - 0 C,) I 0- 0 ( '5 00 - ! f)A- <br /> <br />SUBDIVISION <br /> <br />I~'l <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />D SIGN <br /> <br />o ADDITION <br /> <br />o ALTEAAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMI L Y <br />DINDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~,/~ <br />BUILDING SIZE 2.. $ ')C'-j',( <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) 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 />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />D NO <br /> <br /> <br />SIGNATURE <br /> <br />W~/J~ <br /> <br />COMPANY J1~~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 48 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE W~ tJ~ <br /> <br />COMPANY J4<!-.. '<-- <br />STATE CERT OR REGIST #. <br />CITY PROCESSING # 18 7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE W-c....r-- ~~ <br /> <br />COMPANY tJ~ <br />STATE CERT OR REGIST #. <br />CITY PROCESSING # 'I '8 <br /> <br />* * * * * * * * * * *.* * * * * ** * * * * ** * * * * * * * * * * * * ** * * ** * ** * * ** * * * * * * * * * * * * * * * * * <br />MBCHANICAL COMPANY ,;:1 'C....-- <br />STATE CERT OR REGIST # <br />SIGNATURE (J~~>> CITY PROCESSING # 4'7 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />