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<br />. . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~-.- If D () <br />DATE RECEIVED <d - <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C ~s~e...r5 <br />JOB ADDRESS Co () 4 d-. <br /> <br />c~. <br />~ G- ~/I <br /> <br />blue\. <br /> <br />PHONE ~)~,- ~'Bl- ;}~31 <br />K~~~q-q3D7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />~ALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />D MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />WORK lYIO\.J I N~ ~I 1\ ~+c::0-IOI\.) I ~ ~rl f.. r <br />~V'\ ,\r-S -b '; c ~ / <br />SQUARE FOOTAGE <br /> <br />1 <br /> <br />st~ t-} ~OJ <br /> <br />~N~ <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATT~CH (3) SETS OF BUILDING PLANS ~ ll) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~ING <br />~;~~RICAL <br />D PLUMBING <br />D MECHANI CAL <br /> <br />$q/UC~U:J <br />I <br /> <br />/ ..' JOL') <br />PERMITS REQUESTED ( . b <br />VALUATION OF TOTAL CONSTRUCTION <br />", <br /> <br />\ <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER D W.R.E.C. <br />/"il ~7) <br />(IF, />;; --- f/ LJil.,c I" <br />S-If>-"''- (,;7/' ~ <br /> <br />6fT tJ F 7UJf-4; <br /><j?14. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />)qFRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER --> ~ ./ ' }/J <br />SIGNATU~':~ kvz/'ifft4/F\! <br /> <br />SIGNATURE <br /> <br /> <br />******************************************************** <br /> <br />COMPANyCt>...5~e ~ 5 CO. , ~ <br />STATE CERT OR REGIS~- C (::) It 0 J .~-') <br />CITY PROCESSING # /}?Cl <br />, ~ <br /> <br />ELECTRICIAN <br /> <br />COMPANY vA 'v:th /l- ft /;e;/ - .:r-..-L c... <br />STATE CERT OR REGIST # ~rtPoo 8"7 7~ <br />CITY PROCESSING # 1/2-- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />