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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;l-/~- .-- .'\ <br />DATE RECEIVED: ( '0 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~ Prt2.. ~O(2. ,6 -\ t;l me e. Lu h~Jot0t/ <br />JOB ADDRESS 3503 QQO\.'oa.-A'1::i:A. <br /> <br />PHONE f7 )S ';> -q 1 '1 ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION~c9 p~ <br /> <br />PARCEL ID # !t4. -2..~-2j _q,.,40-0~ - (I~O <br />WORK PROPSED: DNEW CONSTRUCTION ~TION <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~AMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />CJ <br />DESCRIPTION OF WORK \), (0~ \ <br />BUILDING SIZE :J. (~t 'Z- <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />\200 I"Y\ <br /> <br />SQUARE FOOTAGE ~Z L\ <br /> <br />HEIGHT 2!) i <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ING <br /> <br />PERMITS REQUESTED <br /> <br />$ ~~OOa- <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />~EL <br /> <br />~ GJlLu~\'Y'-.. <br />~ OTHER ~-~&~, <br /> <br />IN FLOOD ZONE AREAD Y~ )?1 NO <br />'1f~-D~Q!) <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />BU7LDER~~ <br />SIGNATp ~ <br />****************************************************************** <br /> <br />BLBCTPJC~ <br />SIGNATURi: - '.------ <br /> <br />COMPAN~\- -rJ\5~O ~~.<:!...... <br />STATE CERT OR REGIST # Z. (Z..-oo \4 "I ~ ( <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />f0 / f'c' <br /> <br />I <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />;1{) / Pr <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER fr <br />SIGNATU~ C(JI <br />I <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />