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<br />APPLICATION FOR PERMIT <br />CITY or ZEPHYRHILLS <br />BUILDING DEPARTYENT <br /> <br />DA.TE RECEIVED <br />PLANS REVIEW I'D: <br /> <br />OWNER'S NAME <br /> <br />&~J <br /> <br />/1 0 N"'I.o,J <br />. <br /> <br />PHONE <br /> <br />JOB ADDRESS /...,c.. I J ,-/3 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # 3'-/~'2...?-'1...j - O(;;jO .... 01.)00 L..-' /'1S- <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />In/! <br /> <br />BUILDING SIZE <br /> <br />-z.... )I ){<{ 'i <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 />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />DGAS <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 />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE rt,.J'''r'!J~ <br /> <br />COMPANY ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # '19 <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />w'~ /J~ <br /> <br />COMPANY ,if <. <- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I~~rr <br /> <br />ELBCTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />vJ~ LJ~ <br /> <br />COMPANY JIJ~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /># /if <br /> <br />PLUMBER <br /> <br />***********.******************************************************* <br />COMPANY ,14 c- <- j <br />STATE CERT OR REGIST # ~ 1/.5 <br />LJ~ L1~ CITY PROCESSING # <br /> <br />MBCBANlCAL <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 />