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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />- ~ <br />. .:-e <br />DATE RECEIVED "3. . <br />PLANS REVIEW <br /> <br />OWNER'S NAME GIlANIJ <br />JOB ADDRESS 315"37 <br /> <br />!-IIJ{l;fZo tV (1l-tI, P . <br />tv f V f:.cWl II- v,t La r /1./1.( <br /> <br />PHONE 7 t z.. -I /)(g c( <br /> <br />SUBDIVISION G/2AI-() /-/tJlI.-f 't~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # '3tf- 2-5' -2.( - 0010- 191:3 00 - 01 ,,~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: otNEw CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />IY1NSTALL <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 /> <br />~HER <br />r A<:J.,,,., ~ <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVALAL-VIn I /\/VI'l1 <br /> <br />DESCRIPTION OF WORK flt1ISfZo Sc..Izt:'6v (U~ I GA{2.,?()p..r I <br />, <br />BUILDING SIzEllxll. ,llJr{Z, 201(2-L( SQUARE FOOTAGE <br />, r <br /> <br />. _ LI. - {2.Ol)M <br />'1~8' <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 />PERMITS REQUESTED <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />$ J 2 J Ot}O . 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. Wille H/fp <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 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~A~~ <br /> <br />COMPANY~ COA./e;nwCT(cJr/ Or;, cENTllA(., Fc... <br />STATE CERT OR REGIST fj (Jl~Q) !;"'1'7 r'Z.. <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~4.~ <br /> <br />COMPANY fJ-Cl= t5 /,6 c. fttl C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I R '7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />