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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'J fJo ~d <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~J t1 E.{C 1/(0 r <br />, <br /> <br />JOB ADDRESS <3 '15 3 -:s <br />LEGAL DESCRIPTION: LOT(S)', -t)~::< <br />PARCEL ID # ;?1.2b-2/~ ;D21::><' -oc.L.oD_ <br />I <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />PHONE , <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />It 2~c) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <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 <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK ;1/tJ lor- firy ~'f;"')~' .... ( ~. c ,~~Af <br /> <br />t2~ Y' </,'7' SQUARE FOOTAGE ::; sty J HEIGHT <br /> <br />I L) J <br />I <br /> <br />BUILDING SIZE <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 />o BUILDING <br /> <br />~ :2iCj9~. <br /> <br />PERMITS REQUESTED <br />60 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o 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 AREAD YES <br /> <br />7/{r7S2J <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />L // <br />~----L/ <br /> <br />COMPANY lft <br />STATE CERT OR REGIST # R/I" D6c::;;~y1' <br />CITY PROCESSING ~ ~ 'j'j? 111'/;~ (el( <br /> <br />ELECTRICI~ ~ <br />SIGNATURE ,.. ~ 4t bY <br /> <br />****************************************************************** <br /> <br />COMPANY iJ1f1 E/eL. <br /> <br />STATE CE~T OR GI ST # . _ <br />CITY PROCESSING # 0< 'J'l <br /> <br />*..........................................~..~.~. <br /> <br /> <br /> <br />PLUltBKRc '''-; ~ i:r COMPANY , 5 <br />/ .'? . /(-. STATE CERT OR REGIST # <br />SIGNATURE /;t;:/(.. /I. /~. CITY PROCESSING # ~ II~. <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <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 />