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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVJ:EW FEE <br /> <br />OWNER'S NAME &rd..,I,J 1-//)r>2tJ~1 <br />JOB ADDRESS 377(? /I)e:>/:A. I{n-n, <br /> <br />PHONE <br /> <br />J,.~ r &::2. <br /> <br />SUBDIVISION&-Ia"d' 1&/I~If.s <br /> <br />LEG.lU, DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL, ID 1/ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSt!:D USE: [JSGL FAMILY D~lELLING <br />o ~OMMERCIAL <br /> <br />DMULTI-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 & HEl\IJTH DEPARTMENT APPROVAL <br />--'11l) b ; ~ f-{{)tIf -L ,5e t L t P <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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' 'l'OTAL CONSTRUCTION <br /> <br />o ELEC'l'lHCAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />D MECHANIC~.L <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: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVA'l'IONS <br /> <br />I S PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />padillelS JO palU1Jd 'padAl ailleN <br /> <br />padmels :ro palu1Jd 'padkl ameN <br /> <br />luaill6paTMoU~~E 6UT~El uosJad JO aJnlEu6TS <br /> <br />luailla6paTMOU~~E 6U1~El uosJad JO a:rnlEu61S <br /> <br />t.(leo UE a~El 10U PH:{J P1pD Ot.jM PUE <br />(U011E~TJ11uap1 JO ad^l) <br /> <br />pa~npold SEq oqM 0 <br /> <br />JO laill 01 UMOU~ ATTeuos:rad ST oql(J <br />{pa6paTMOtDf~e uosJad JO aillEII; <br /> <br />^q <br />61 I JO Aep- 'sp.(l am aJoJag <br />pa6paTMou~~E SEM luaum:rlsu1 6u106a:r0] aq,1 <br /> <br />'qlEO ue a:lfEl <br />(UoT1E~TJ~luap1 JO <br /> <br />10U P1pD P1P DOt.jM pue <br />ad^l) <br /> <br />pa~npoJd sEq oqM p <br /> <br />:ro lallI 01 lIMOU~ ^TTElIOSJad s1 Ot.jM 0 <br />(pa6paTMOm{~E uos:rad JO ailleU) <br />};q <br />-6T I JO Aep - sTl/l am aJoJag <br />pa6paTMoll:lf~E seM lUamnJ1SuT 6U106aJo] aq,1 <br />