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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME 7:)6)(1 ~ fa ve <;> <br />JOB ADDRESs'8i./ / I.j JouJvm ~E /Y) 6-1Zn1 d <br />LEGAL DESCRIPTION: LOT~A' ~ 30 BLOCK <br />PARCEL ID # ~'1-:J6-:2!-OO5D-ooo'aJ- 4W <br /> <br />UJ ~ l-- <br /> <br />DATE RECEIVED /- / / - 1) (;) <br />PLAN~_ E!f DE I;/~'~ <br />LJLI I /-1- <br />(!, /"--, J- <br />PHONE C;, 7 - 3Y'3' <br /> <br />SUBDIVISION <br /> <br />EmcJc,/d <br /> <br />Po, 'n-J. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] SIGN <br /> <br />[] ADDITION <br />p{ MOVE <br /> <br />[] ALT E RAT I ON <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />~OBILE HOME <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />?~,-/( /J1e>ck/ <br />/~X()b <br /> <br />..:5~f v / <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />s-tJf <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 />[] BUILDING <br /> <br />$ ~IQOO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />[] MECHANICAL <br /> <br /> <br />$ <br /> <br />--0---- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN <br /> <br />BUILDER <br />SIGNATURE ~7~~ <br />-- <br /> <br />I a '~~ <br />COMPANY '1; lArldA A ) <br />STATE CERT OR REGf:T # * Ii DO <br />CITY PROCESSING # ..2 h 9:.S' v <br /> <br />/17' <br /> <br />****************************************************************** <br /> <br />ELECTRICrANQ ~ <br />SIGNATURE tlYl 5lG..t )-UO <br /> <br />COMPANY Home. C> WI) e r <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~. I' <br />COMPANY \Jd~Y.s (YIbol I~ <br />STATE CERT OR REGI ST # _ ::r If <br />?'" Z~ ,~4 - CITY PROCESSING # 2~"I'.3 <br /> <br />~ **** ************************************************************* <br />COMPANY ~?lIM.p DuJ ~-"- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />!10m c <br />"COO "1'1 <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />~ (3'{\ <br /> <br />~S\n.~" <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />