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<br />APPLICATIOH FOR PERMIT@ d) lit 1<. <br />CITY or ZEPHYRHILLS l t 9 (j <br />BUILDING DEPARTMENT DATE RECEIVED () <br />PLANS REVIEW DE <br /> <br />OWNER'S NAME 2..E::.-ft\-(~ \L..L..~ ~p(2...l""'o, tAJ ~r~~G,.PHONE /~~ -,qt;~ <br />JOB ADDREssA'2,..~ ~~\+--\ ~T' 2~p H\,,~ Hl L-LS ( fL.. -3~~ <br />LEGAL DESCRIPTION: LOT (S) \ BLOCK ~4 SUBDIVISION ( ~~r~:!:yH \~. <br />PARCEL ID # ,;- -z..(P-.z,. 00 1 () ..~~ ot::J /00 It:) {OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: oNEW CONSTRUCTION o ADDITION ~TERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: oSGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBI LE HOME <br /> ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />t-~t::>>~L,..... l tJfE.~\O ~ ~f e:.~ I c:,\II'-J~ ~ t.-~c-" . <br />SQUARE FOOTAGE "! z.~ c::!' ~ HEIGHT ~ · - a fI <br /> <br />DESCRIPTION OF WORK <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 />"'fA.. BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br />$ ~ S. tJ)~O . ~t:' VALUATION OF TOTAL CONSTRUCTION <br />( <br /> <br />AMP SERVICE <br /> <br />;Itl FLORIDA POWER <br /> <br />o <br /> <br />W.R,E.C. <br /> <br />$ <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 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />COMPANY-f' M. L.l~evL c.-A./ ~ . {~c:.... <br />STATE CERT OR REGIST # (:..&<::.~ l \!> {~ <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />************************************************ ..r <br /> <br /> <br />! COMPANY ,h;"/jf~&j5 &c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # (~~ <br /> <br />ELEC'l'RICI <br /> <br />********************************************** <br /> <br />PLUMBER <br />SIGNATURE fi ~ f. €A ~;.SJ-- ---, <br /> <br />COMPANY. pc--,tJA/ /$ L ( 10 ~ \ [{ / fr-CIV S <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /q LD <br />. <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />