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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(935j) . . <br /> <br />DATE RECEIVED ,-J- fl' -0 D <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />WI f..,(", (fl/IA B 00 Tf1 <br />/-f), (S-~ j 7 ~J./l <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # sl/- 2t; -2. (- (90 ( 0 - Of 'J 00 -Of 5"5" <br /> <br />SUBDIVISION ~IJ Ifufl,/20tV <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <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: DSGL FAMILY DWELLING <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 />~ER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ALti1V'tll/dlYt <br />BUILDING SIZE II X .51 <br /> <br />f A-<.-t;H;1C er.:: IJ.-rrA- c (1 <br />SQUARE FOOTAGE 5 Co ( <br /> <br />HEIGHT <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 />~ILDING <br />~ECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />- <br /> <br />$ / 1 000 <br /> <br />AMP SERVICE <br /> <br />D~~ <br />1/ /D&1 <br />o O:::ATION OF MECHANCIAL INSTALLA(~~~// <br /> <br /> <br />o FRAME 0 STEEL 0 OTHER "" ., '.. //// <br />" --- <br />IS PROJECT IN FLOOD ZONE AREA~ YES ~ <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />--~.",." <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />~ !l-. tCAJI <br /> <br />COMPANy]itJ+ C OA60L UC TltJIl/ tJ~ U#ffl.At... I~. <br />STATE CERT OR REGIST # C(1LOSr"7? g-z.... <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />4~ ~ <br /> <br />COMPANY 1+ Gt[" /iL (~ ,IUe.- <br />STATE CERT OR REGIST # --' ? '1 <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />, <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />