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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEXVED <br />PLANS REVJ:EW FEE <br /> <br />OWNER'S NAME ;;o/4IV /11 I} C-" (,' E R /t..' <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />53<(6 - ,=<"O,R ;S'~EG-r/ 'ZEPHY!?.HILL S ;: L 3.3.537 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o AVDITION <br /> <br />o AL'l'ERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />S~eJ <br /> <br />BUILDING SIZE <br /> <br />10,x .2..0 <br /> <br />SQUARE FOOTAGE ~ (:I 0 <br /> <br />HEIGHT <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 & (I) SET ENERGY FORMS. ~ <br />PROPERTY SURVEY REQUIRED E'OR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ ==<1300 <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 />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />D 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 />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATUREY ~~ mQ~~ <br /> <br />COMPANY OL..>o"le>/ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************.*. <br /> <br />ELECTlUCXAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />* * * * * * ** * * *,* * * * * * ** * * * * * *** * * * * * * * * * * * * * *** ** * *************** ***** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******************************************************.*.*.**... <br /> <br />~ <br />