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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;:L:"/~- i;D <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />c <br /> <br />JOB ADDRESS <br /> <br />L 'f1({,1<. If <br />:3-13-9 <br /> <br />JI nG.Z= w B Vp <br />I'1BLJX/D!<. <br /> <br />PHONE ~l;.5....1:, ~36 <br /> <br />E/YJ~;{I1L.LJ Pt?/~V <br /> <br />SUBDIVISION E "'1~Jl4p /'tJ/.:Vr/ <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 2--4-26 ~z.I-t70"'O-oCboo - J~t:TZ> <br />WORK PROPSED: DNEW CONSTRUCTION ~DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK JV3 "'f)VlJpj;)-DcC.k- IOXJ2.. ScA9iitfV I '-.X2-""1 ~()f)/>1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />S5-0 <br /> <br />HEIGHT R" <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (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 />D BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br />~RAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD <br /> <br />YES ~O <br />-tp 1~ pO:L~ <br /> <br /> <br />BUILDER <br />t: GNATURE <br /> <br />~/~ <br /> <br />COMPANY <br /> <br />****************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE -. <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br />SIGNATUR~ fA <br /> <br />\ <br /> <br />Pt.IJ J) ~^ So L~ ~} t ( t \A-~ ~ <br />COOPANY _ <br />STATE CERT OR REGIST # 1- e;r-~ 0 <br />CITY PROCESSING # (9 2 0 l,. <br /> <br />~u.&o. ~ <br /> <br />- <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* * * * * * * r * * * *~ * * * * * * * * <br />IdJ:CIIAIlICAL ~ COMPANY JJl~..fiz:E. S D <br /> <br />. .' STATE CERT OR REGIST. #..jf C ? 9'> <br />SIGNATURE _ -"+" ~ CITY PROCESSING # M'Y v::. <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />