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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTYENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />PARCEL ID # <br /> <br /> <br />PHONE <br /> <br />7~>J - ;)/3 6 <br />53S <br /> <br />OWNER'S NAME ~ e. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />{ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />)d'ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />DMOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH <br /> <br />AJ4 <br />c;l ( ,( 'f '.s I II <br /> <br />o e4-j-1-r Q l <br /> <br />DEPARTMENT APPROVAL <br /> <br />Ale! ~ tJe~{ <br />, , / <br />J r-j 0 <br />SQUARE FOOTAGE ~~,_ <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />g' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />12>0 <br /> <br />AMP SERVICE <br /> <br />~) FLORIDA POWER <br /> <br />o W.R.E.C, <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />;;< 5 s-o <br /> <br />oi) <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 <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />Nfr- <br /> <br />***************~************************************~~**~~***;** J <br /> <br /> <br />ELECTRICIAN ~/ ___// C~ COMPANY. I,J ;,,~ Y'O!.v -",. ~ <br />~ ...--.:: __/ STATE CERT OR REGIST # <br />SIGNATURE, .......-- A~c>~ CITY PROCESSING # s6ci1 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />rJ(~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* * * ~ * * ** * * M * * * ~* * .-,-. <br />COMPANY: S (J fA. \fl r V\ LOw. v-t- -I.-vli. <br /> <br />- , STATE CERT OR REGIST # Ii W)()O , S 6 dd. <br />CITY PROCESSING # ..$"'3 <br /> <br />MECHANICAL <br /> <br />*************************************************** <br /> <br />OTHER <br /> <br />tJlfr <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />