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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 3 It/I 00 <br />PLANS REVIEW FEE '=' ~ ,.!.!... <br />~(( 7/.:5. LjroS- 3 <br /> <br />PHONE 7 g ol. . 8 J{)~ <br /> <br />Co ~+r'<-C+INr <br />(> <br />11 '^"ber v.h.y <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ <br />PARCEL ID # Of) a Q 0000 () {)9 '80 <br /> <br />OWNER'S NAME DlA-U \ S <br />JOB ADDRESS i..j~<;1 <br /> <br />./ <br /> <br />{OBTAIN FROM PROPERTY <br /> <br />S-'Udr~ <br />( <br />TAX NOTICE) <br /> <br />BLOCK <br /> <br />I <br /> <br />SUBDIVISION La l-LC-+- <br /> <br />WORK PROPSED: 'jZJNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 'fSGL 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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />/SC> <br /> <br />AMP SERVICE <br /> <br />fiJ FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o 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 />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />IJl-- <br /> <br />COMPANY Do-- u i 5' [..o""..{. ('4 <:-!-y'.-v, <br />(./ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />* ~*************************************************************** <br /> <br />PoeJc.( <br /># ER.. 009 '7S Cj s <br /> <br />G~/P <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />**************************************************** <br /> <br />PIHffY1tAAJ f~jl:Vr <br />COMPANY d1.. . <br />ATE CERT OR REGIST # L P -C ~ ?ol.J / <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />***** ,*********************************~******************** <br />f1. COMPANY. 0 O~M"'S <br />4 ~ STATE CERT OR ,(fGIST *-J IZn tJiJ II? $/6 / <br />~ CITY PROCESSING #---Jr0'S <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br /> <br />********************:O:::~:***;;;~~**:;;;~:t:~~~/;, <br /> <br />STATE CERT OR REGI ST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />