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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVJ:D <br />PLANS REVIEW"1'EJi: <br /> <br />OWNER'S NAME--13 c- Ie T RA-tV () ~ i /11 J'1-t~O <br />JOB ADDRESS 7;2.. 'f2. I}SJ1 Ll4tvC'i n~ <br /> <br />PHONE g)3 - 7K' f/ - 70.3 I <br />/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # * 3S- - J..S--cJ..1 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />-oa~o -OOQOo-D31DIOBTATN <br />o ADDITION ~TERATION <br /> <br />FROM PROPERTY TAX NOTICEl <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:'pl.sGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />R 'E",V'Li4c (;" <br /> <br />H~4r <br /> <br />p u Vt-p <br /> <br />S 1/ S I € """' <br />, <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />ot. <br />$ 2770 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />!7J1} <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />f)Jrft <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLtJIdBER <br /> <br />SIGNATURE <br /> <br />/1/ ~q <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br />. COMPANY: socrrH f!'~ C'L>-+ctl- T ~........... <br />.P/i _ II ~ STATE CERT OR REGIST # ~ 1>1 0<,,> j~ 0".3.- <br />~ ~ JL~~ CITY PROCESSING # S~ <br /> <br />*******~*::**************************************************** <br /> <br />Mli:CBANICAL <br /> <br />SIGNATURE <br /> <br />OTBBR <br /> <br />Nlq- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />