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<br />APPLICATION rOR PERMIT <br />CITY 01' ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />I /I~ 16~ <br />DATE RECEIVED - - <br />PLANS REVIEW n::s <br /> <br />OWNER'S NAME G/lANn <br />JOB ADDRESS 37r;'-l3 <br /> <br />I-IotU Z oiJ <br />. <br /> <br />/\1 fv ('-OM <br /> <br />PHONE <br /> <br />1-01 <br /> <br />Ilf5" <br /> <br />SUBDIVISION 61./1-tv!l Noll.-{ zat1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 3l.f-7.f -2.; - OOt 0- 0 f ~ {oo - vi V-.5' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />Os I GN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />o ADDITION <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <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 />~THER <br />ItWIfI/#J/lA <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />lOx/if ~(,1J~/V [lIJOlvl I tJ....IU>OtJ'l I C~{lfJ()a r <br />I , <br />'7ft <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />g' <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 />PERMITS REQUESTED <br /> <br />[M"BUILDING <br /> <br />$ I D . 0'00 I () () <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 />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 />~HER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />A"-j is~ <br /> <br />COMPANY g f {-I (~ml..)( T(()nI t~r:he-#T7l/J<.- (-t.. <br />STATE CERT OR REGIST # tecos- tEz. <br />CITY PROCESSING # Z-ttJ <br /> <br />BUILDER <br /> <br />* * * * * * * * * * * * * *'* * * * * * * * * * * * * * * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />ELECTRICIAN ' fl (\ . <br />SIGNATURE \'\ll' KQ)c ~ C' lc J;"^- <br /> <br />A ,. C .r. - C. <br />COMPANY U~ pt.,t;c..( tlA <br />STATE CERT OR REGIST # t::~...r~~( <br />CITY PROCESSING U~') <br /> <br />****************************************************************** <br /> <br />" <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * ** * *,* * * * * *** * * * * * * * * ** * * ** * ** * * * * * * **** * * * ** ** * * **** * *** ** * <br /> <br />MEeHANI CAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <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 />***************************************************************** <br />