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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR'lKENT <br /> <br />DATE RECEIVBD <br />PLANS RBVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />1J1.o/( -I' <br />~ 3tJS <br /> <br />--- <br /> <br />S c- 11..6 &-/ 'cf 0./ <br />( qcnS~ <br /> <br />PHONE _ 7P,<.. ~ 6 ;z?<. - <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ 7~" C/'Ci;- ~ <br /> <br />BUILDING SIZ~ <br /> <br />SQUARE FOOTAGE 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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <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 />'] j bf), ?YJ <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~_. /; <br /> <br />. ( (, ('1 _ '1 <br />IA A.--4!' ~ "j l /i ( cc<.-(, I <br />,.. <br /> <br />COMPANy/r~ G. 4. Jot. rz)J c/C,~ IV ci~ LL.. r LR' c. 7 A: ( e- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # (~ 72 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />/ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br /> <br />COMPANY: <br />STATE CERT OR RE 1ST <br />CITY PROCESSING # <br /> <br />/ R ,;;..... <br /> <br />***********************************************k******** <br /> <br />O'l'HER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />