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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 6- ^.I'f'.,J I lie> 'I../1.-.-~ <br />JOB ADDRESS L.",/) h <br /> <br />PHONE <br /> <br />SUBDIVISION 6-.A1i"IJdJ Ii"......., "LO-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o ADDITION OALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH ~E <br />OMULTI-FAMILY 0# OF UNITS HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />In ' ;-r <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 />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED ~L ~. 4;(":;1;;;; <br />VALUATION OF TOTAL CONSTRUCTION vn <br /> <br />o ELECTRI CAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <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 />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY (?~ <br />~ STATE CERT OR REGIST .W <br />tJ-o..y- 0 CITY PROCESSING # ' <br /> <br />******************************************************* **** *** <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />.lAJe;r-- ~ <br /> <br />COMPANY ~ ~ <br />STATE CERT OR REGIST--#:--- <br />CITY PROCESSING # <br /> <br /> <br />ELECTRICIAN <br /> <br />***************************************************** <br /> <br />SIGNATURE W~~~ <br /> <br />COMPANY /J....4~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />, COMPANY .J4 e r<.. <br />STATE CERT OR REGIS't-_~ <br />w~~ CITY PROCESSING # ~ ) <br /> <br />****************************************************~ ***** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />