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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 />" <br /> <br />OWNER'S NAME (./ / // #v i~ L}h I t;2.1L <br />JOB ADDRESS ~gf?~~.tI i/ltv4/(j1J4 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # J J../_ 2~ _ 2../ -().I bt1 K)()OO'O <br /> <br />~~~, <br />SUBDIVISION~~~?Y~f?~~~~~ <br />([JD7 A (OBTAIN FRO: ~~O:::?i~!~CEI <br /> <br />PHONEZ/ -- '7;' 33 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ICefJ/ R-C~ If~ ~/Urf- /tI O.6f/t<> ~L?~~ <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 />[J BUILDING <br /> <br />PERMITS REQUESTED <br />dtf/ ~~ ~ cJ VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~FLORIDA POWER [J W.R.E.C. <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br />[J MECHANI CAL <br /> <br />~ <br />$ .' ~DtO tOe) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />~ FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER COMPAN <br />~~/~ STATE CERT OR REGIST # <br />SIGNATU~ -- 77' ~~~ CITY PROCESSING IL 1I!l;tJ' '11 <br /> <br />*************** *~***~~~;********************************* <br /> <br />BLECTRICIAJI~ ~ <br />SIGNATURE lUo V E Lee <br /> <br />COMPANY...0?.o:t? ~ ~k712 {~ <br />STATE CERT OR REGIST #E;)2 ~ .2 c./c;. 23 <br />CITY PROCESSING # ").22 v <br /> <br />***************************************************~~~*~f <br /> <br /> <br />PLUJdBBR ~ COMPANY ~ ~ <br />STATE CERT OR REGIST # <br />SIGNATURE . ~T' CITY PROCESSING # ~ 177 <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * '!' * * * * *M; * * * * * * * * r~ ~ <br />MBCIWlICAL ~ COMPANY' ~".:zZ -<'.Ld M'7 <br />~ /' STATE CERT OR REGIST # t!~/ r3GC/ <br />SIGNATURE" " '~./U CL/ /11Hp. CITY PROCESSING # ''f2~ <br /> <br />'\, <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />