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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ,$ - 1- v () <br />PLANS REVIEW FEE "" <br /> <br />-- <br /> <br />OWNER'S NAME /J/?_/ff ~# .fj'.(#I1S; i/I/t 6v; .J!im~.AC ~~~ <br />JOB ADDRESS hJO ~.-?U :$,till) fE?.AlY~#/~ <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />!RALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~tV~"""'5 .7'P ~IIN.&>A'?/',1 "7B),J)G. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />I!f BUILDING <br /> <br />$ I ~ I ODo <br />, <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[!? ELECTRICAL <br />[3'" PLUMBING <br />~MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />~ <br /> <br />VALUATION OF MECHANCIAL INSTALLA~.- ) <br /> <br />( 1(01--, /)q9-~ i <br />o OTHER q& ~ <br /> <br />o STEEL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE 1/'/ <br /> <br />COMPANY ~~ , <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /'lfi.. ~AI ~~r I~ <br /> <br />****************************************************************** <br /> <br />PLUMBBROfL L <br />SIGNATURE /' ~i ~ <br /> <br />COMPANY ~~~ ~7P-A~ (~.p <br />STATE CERT OR REGIST # c..'F- C C~'3:,::SHk) <br />CITY PROCESSING # <br /> <br />MECBANI~.( <br />V <br />SIGNATURE <br /> <br /> <br />* * * *,* * * * * * * * * * * * ** * * * * * * * * * * * * * * * *' *.* ~ * * * * * M * * * * * * * * t1~ <br />COMPANY 'PAP , ~,//J.AJtV/~ <br /> <br />" hi STATE CERT OR REGIST # eM -~ny ~<::;;; Lj R <br /> <br />4V1 CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />