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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 9- =< 0-9 9 <br />PLANS REVIEW FEE ~ <br /> <br />OWNER'S NAME <br /> <br />w,u.;.al<t} 1=i;k~"1 I i<-(4h~ 0~L"^ (~n"" 'J <br /> <br />JOB ADDRESS VAI::.f!../<E5~ ::?U:tr~(~, t,u.zL( i0-\(I~ ,-''~'~~~_.:_-- <br />Tz G:." ') K d I L ~ 2 '1 )'l(U:...::t l'i~ "C I{' ')' <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION C~'--I\ ( 1 ~. ':if I), ,. d- <br />'\,u_ ' d \ U\"-;i th <br /> <br />O",~ -,.)lc ',~) \-6C I L' <br /> <br />c' '~"'~ () C . <br /> <br />'<.,C,(',C' <br /> <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: OdNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />ij\(',- ":', <br /> <br />{ \ v ,. ' <br />- 'L~\j \ <br /> <br />, <br />~( :\ <br /> <br />cS-.\ ' \ \ \, ---S' <br /> <br />" ' <br />,)(tx <br /> <br />'- '- ,:}{ ~~ <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 />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <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 <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~ <br />~-\~:'-''-- ~I ~J ,'\ d--;z LC\" <br /> <br />\ I) <br /> <br />--~ <br />I <br /> <br />BUILDER <br /> <br />__t y",-C!. <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />OTHER (~~ ~~, ... <br /> <br />SIGNATURE ' <br /> <br />COMPANY Flu.. C!<an3C;..J./XL <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 10 'I <br /> <br />***************************************************************** <br />