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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED ~'-.3D - DU <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />3"1.5/'1 (Z;~ <br /> <br />(J/J;L . <br /> <br />fir <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /eS-;;2t,-;;/-O~06- t:)O/-'f)ttJ-Ot/~.!2., (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />, <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 />BUILDING SIZE <br /> <br /> <br />DEPARTMENT APPROVAL <br />., <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE <br /> <br />E I~IJQO <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 />or BUILDING <br />62J ELECTRICAL <br />i2r PLUMBING <br />o MECHANI CAL <br /> <br />$ jq/J,OO().{:)O <br />;~ 00 <br /> <br />VALUATION OF <br /> <br />TOTAL CONSTRUCTION. . ::J;. <br /> <br /> <br />Od FWRIDA POWER 0 ;iit~{}) <br /> <br />AMP SERVICE <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 />u;r STEEL <br /> <br />@LL-. ({S(c.K . <br />o OTHER t fdLq 9'3 ~O <6 :3 (p <br />'ONE AREAq YES <br /> <br />o NO <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY , <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY 131J51- /11:5to ?:t.l!iZ-f/2tC"- <br />STATE CERT OR REGIST # ~/2~o/LfS91 <br />CITY PROCESSING # ?f3f- {)~V/ <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER ~ <br />SIGNATURE \..tv-::. j <br /> <br />\;J ~c,-v~ <br /> <br />COMPANY PEP",.' ~ L. ~: ~ \' tr--~ <br />STATE CERT OR REGI ST # '( F - O:~r U (0 <br />CITY PROCESSING # I 9 2. 07)~ 1,./..... <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * * * * * * * * <br />COMPANY Ci <br />;i --- STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />MECHANICAL <br /> <br /> <br />**************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />