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<br />APPLICA~ION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~~ ~ ~:~~h~ <br />JOB ADORES S.:~ - 4 r /- ~ f' ,ti? I -- ~ Ie / <9y <br /> <br />k rn /-".( A.. / <br /> <br />cj1HONE g/J-~- /w~ <br />i'irr K () - t' k. <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S).:fr <br />, <br /> <br />PARCEL 1D #.:11- - ~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />Q- OTHER <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF <br /> <br />D <br />WORK ~J:v S -t4 Jj.... <br /> <br />RESTAURN~T & HEALTH DEPARTMENT APPROVAL <br />d. /tJ~ ~KA5'I.:' ~E/-l-L r Q 1 ( <br /> <br />Ll0) IT, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />. <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PhN~S & (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 CONSTRUCTJON <br /> <br />[J ELECTRICAL <br /> <br />AMI:' SERVICE <br /> <br />o FLORIDA P0WER <br /> <br />o W.R.E.C. <br /> <br />II PLUMBING <br /> <br />o MFCHANICP.L <br /> <br />~j qtf.~ <br /> <br />Hi <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 />o 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 />01'10 <br /> <br />C~$:' <br /> <br /> <br />C'tI1 <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~IeI~""""""""""""""';;;;;:~~~::~:i~~~~~t6~<J10J <br /> <br />SIGNATURE~ ;?~7 ~ /-<:2 ~~e ----- CITY PROCESSING # 231 - - <br />--- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * *. * * *.' * * * * * * * * * * k * * * * * * * * * * * * * * * * * * * * * * ~;?l * * *:!!:/i:. 'h-* * * *... * * * <br />MECHANI~ COMPANY ::y If" ",- 'f< <br />- '- STATE CERT OR REGIST # 57 '75/2-1 <br />SIGNATUR~ "7~" U~ CITY PROCESSING # 23g <br /> <br />****************~**********************~************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE ___ <br /> <br />**k4-**************~-***.***'k*k**********************k************* <br />