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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR'l'YENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br /> <br />COrJ ./-r~C-+I:V'i <br />(/ <br />, t,(J. <br /> <br />PHONE '/ /3 . cr~ s .3 <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT (S) 20 BLOCK I <br />PARCEL ID # IS - 26 -ll. c) UlU '000011 - Co.\.. to <br /> <br />SUBDIVISION &ut'\ {-. <br /> <br />7 tot a: r<-. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT <br /> <br />DESCRIPTION OF WORK ~~/V1/~ <br />70CA5" <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />r~;'I"t1 j) VJ ~ /~:..vr <br />, I r?~ cr <br />SQUARE FOOTAGE 6 l. <br /> <br />HEIGHT <br /> <br />g Ir <br /> <br />BUILDING SIZE <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 />o PLUMBING <br />o MECHANICAL <br /> <br />/5 D AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o W.R.E.C. <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:~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />I;i' NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY Gl..1/ f <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />*************** ************************* ********************** <br /> <br />----- ~71 1~+V1uCtd -I IbVH6f~ <br />~ ~ COMPANY <br />I ,.. STATE CERT OR REGIST # C F OS 7 ./ <br />-::a . - - ----- CITY PROCESSING # 13 I <br /> <br />* ***** -Ii * **,**** ** ****** * * ***** * ***** *** *****;!;Ji.* * ** ** ***** **' * ** ** <br />{;- ! COMPANY "::>.e:>,-..J '&ide <....J <br />~~/" t/ S:!,ATE CERT OR REGIST # ;WI ()CJ 'Z <br />. CITY PROCESSING # aD S' <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />br <br /> <br /> <br />********************************.********* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************;**~**~*~*************~** <br /> <br />" <br />