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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br /> <br />DATE RE~~ <br />PLANS .REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />~TAck C. -e r ~ a... r e II J . <br />3 r'" 'fCj Gun 1-'1 K'd <br /> <br />CP€il{()L mlJ~) PHONE 63 t "111// <br />5'J/ lF~s.f ? 't1..yr)ui'fl r Fl.) 3.3s4/f) <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(Sj <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I D # 0.2- ~ ~ - .2 1- /?/!) / /)- 0 (,IJ{)(} - 00 It? <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEvJ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />~'REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />IfQ COMMERC IAL <br /> <br />OMULTI-FAMILY <br />o INDUSTPIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />c=J RESTAU~~T & HEP~LTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />f<e.~ee!J Sj;.(,.);. fit".. I ..j.-~ rne<:-I- B.....\-IJ,~1 6<1-c <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />Cot1MERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br />f 8'/';: e <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />WELECTRIC1\L <br /> <br />AMP SERVICE <br /> <br />~ FLORI DA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUHBING <br /> <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 />'fYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />C9i1~~C~qa':,~:~~~~J:Q~ <br /> <br />SIGNATURE. <br /> <br />COMPANY- - <br />STATE CERT OR REGIST # <br />CITY PROCESS~NG # .- <br /> <br />BUILDER <br /> <br />****************************k************************************* <br /> <br />ELECTRICIAN <br />SIGNATURE ~7 P( aJ~ <br /> <br />COMPANY ~ ~ <br />STATE CERT OR REGIST # G~ - ~()d / 2~1 <br />CITY PROCESSING #oi~l <br /> <br />************************************-****************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />******A****************************************~***************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />*****~***************************************.******************** <br />