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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1\ ';-), <br />l ;, <br />/.~'l, . <br /> <br />OWNER'S NAM~~f\ k ~c ~I\W . <br />JOB ADDRESS.~ Y- \R~ ~"("'-'----.....z yRI~;L.-L.$ J <br />l!..t ~ I f- <br />LEGAL DESCRI PTION: LOT (S) S'~n4 ~ i= N \k. BLOCK I Clq <br />PARCEL 10 # \ l :J..C-. ~ I C)n[() \ OQDO OP-fC) <br /> <br />DATE RECEIVED <br />, PLANS rEW FEE <br /> <br />~&')?s:~ <br /> <br />t=1-.. - I . <br /> <br />SUBDIVISION\cw\l.> OF ftRty/'q-\;IJ,.<; \?B J ~5L.{ <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />[]SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />[]ADDITION <br /> <br />[] ALTERATI ON <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />[]MULTI-FAMILY <br />D INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />DESCRIPTION OF <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL .a- rr m ' <br /> <br />WORK ~~~LL V~("'\L ( ~'e:cVe:. ~R.a: ,\.)~ FYI5//)..,(:T e# .-L/<- <br />. I ~ Fffi-l!-E Ll ' <br />:17 1)i A. SQUARE FOOTAGE HEIGHT -.J <br /> <br />BUILDING SIZE <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. . V <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ IP: ~ <br /> <br />{! ~ I? - O':4,} <br />PERMITS REQUESTED &~1 L/- <br /> <br />[] BUILDING $ t:,OD - VALUATION OF 1'0TAL CONSTRUCTION <br />[] ELECTRICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. <br />[] PLUMBING <br />D MECHANIeAL $ VALUATION OF MEeHANCIAL INSTALLATION <br />o GAS D ROOFING D SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES Q!l NO <br /> <br /> <br />f) 'L)~ER <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER 4. <br />SIGNATUR' . L(j.K~ntof(') <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE ~. y A.,- <br /> <br />~ <br /> <br />COMPANY fJ~ &v~ <br />STATE CERT OR REGI ST # ce. 0"0 I z..t.1r <br />CITY PROCESSING # ~37 <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 />eOMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />