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<br />APPLICATION FOR ~ERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 412~ (00 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ..fA 'I-/'& Y/"lYe 111 h',.e "-'~r PHONE /i"? -?~ c7.P <br /> <br />JOB ADDRESS ,f'j'()/ 6--,0// /1/vt/ ( 7 &~A7J-h//I/ FI.. .1.1r ~/ <br />//-.)6'.1-(-- <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID It <br /> <br />/ / -M- )../ - Ot:JleJ ' 0 /~tJO ~ a / c:fO <br /> <br />COBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 9'NEW CONSTRUCTION <br /> <br />~ADDITlON <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 />IH'COMMERCIAL <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNI'rs <br />D SWIMMI~G POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTION GF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />C /t/f ~ <br /> <br />I ~ <br /> <br />( }f/P/JII <br />, <br /> <br />BUILDING SIZE <br /> <br />/6 ( f.( /. X.) 0 I <br /> <br />SQUARE FOOTAGE <br /> <br />'d<JO l... <br /> <br />HEIGHT <br /> <br />II <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 />lB' BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[]' ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br />10' HECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTHUC'l'lON: 0 BLOCK <br /> <br />D E'RAME <br /> <br />D STEEL <br /> <br />o O'fHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # /</3 . j.;J J ?f- <br />~&II'.1 ,#. /YIc4-L/ CITY PROCESSING # .).../ / <br />/l 2. - of?1~ <br />.***************************************************************** <br /> <br />ELECTRICIAN <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCES~ING # /?,tJ <br /> <br />,..----.-------,' <br /> <br />C'~G::~~~~// j <br /> <br />***************** <br /> <br />*A********************************************* <br /> <br />PI,UMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PHOCESSING # <br /> <br />********.*.******************************************************* <br /> <br />MECHANICAL <br /> <br />COHPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***.*********A*******.~*~**~************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***********.***************************************************** <br />