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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. ... <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />/l1{' ~~~.(: 0 . !. <br />t 0 L( ? ~ <br /> <br />~ . <br />/t sit/' f',c .s" <br /> <br />;2:0 <br /> <br />('...,-,. 0/-. L ( <br /> <br />;f~~ f" ^;) <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # .0:5 c::7--fc .;;-1 o-V/O /6(?f07) <br /> <br />CJ 0/ l) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR ~ INSTALL <br /> DSIGN o MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS o MOBILE HOME <br /> ~COMMERCIAL D INDUSTRIAL D SWIMMING POOL DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />?u. L/.4 L ~. i/J-^- (; ( ,." Y f.5 - S-~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />3-7.J~';~' <br /> <br />HEI GHT / S i'ev< ~ <br />/ <br />ENERGY FORMS. <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br />3 MECHANICAL <br /> <br />$ ..L(~S() ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D 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 />D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <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 />SIGNATURE <br /> <br /> <br />* * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *-fi * * -Ir-k * * * * * * ~ * * * * ~ <br />COMPANY "L,,~ N- d ~ " ("' -'- A-() <br />'!"... // / STATE CERT OR REGIST # {! ~(' O.s-O 3,"7 <br />~. CITY PROCESSING # <br /> <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />