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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME -/OLl-R 1.<; ~I (/~L (, ~ 8 <br /> <br />,JOB ADDRESS~::f~/ (,; 7LL <br /> <br />PHONE 7 g g -.1/ /4- ) <br /> <br />;:; I/( /..-- T <br />f <br /> <br />:2 if ~)(/.i!1J J... L ) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />, <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEl. 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WQRK PROPSED: DNEW CONSTRUCTION <br /> <br />D .l\DDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />KI INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />D DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />III OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL J I/J!.:q,tj. . <br />DE:SCRIPTION OF WORK:JfI)~/t:) ^-L IIJL:w 84ft. 0 !()41.L rrb{JIf-L Il Ie WI/;! Ii) 1(/.()4)( ;-/cr17 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COJl.1MERCIJI.L: <br /> <br />ATTACH (2) PLOT PI~S & (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 />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUHBING <br /> <br />o I1ECHAlII CA.L <br /> <br />$ 3 8 Cj I .~ & <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D Gl\3 <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELE:VATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />c---- <br /> <br />CON~C'l'O~';'SECTIQN <br /> <br />BUILDER <br /> <br />STGNATUHE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**~***~*************************************************-~********* <br /> <br />ELECTRICIAN ~ () <br />SIGNATURE~~ ' /~ w~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /'1)7 <br /> <br />************************~***************************************** <br /> <br />PLUHBEn. <br /> <br />COMPANY <br />STATE CERT OR REGIST #~~'4 J!,' ~- <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * *" * * * * * *' * * * * *.' * * * * * ..:...~* *_* * *-* * ~ *-! ~ * * * * -k t * * 1i. . 6 <br />MECHANICAL ~ COMPAN' ///1.: - c letG-" I/Il U:bIUPIT/6//1/} . <br /> <br />- '----; () STATE CERT OR REGIST # ..j- / CJ !J)d.... 7 <br /> <br />SIGNATURE--("- - h. aI~ CITY PROCESSING # :l-r.? <br /> <br />**************k************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********k~*************k******k*********~I*******~************ <br />