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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />r? -/27-?) J <br /> <br /> <br />VAR.CEL ID # <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />-;(,;>-11- Ofl.jiJ.- <br /> <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[] 1. N 5l':A:i.L <br /> <br />D SIGN <br /> <br />[J MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />D RESTAURANT & <br /> <br />DESCRIPTION OF WORK <br /> <br />/_~ X //2 <br />. , <br /> <br />HEALTH DEPARTMENT APPROVAL <br /> <br />~_(0?~) ) <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 />~BUILDING $ ~.~O' VALUATION OF TOTAL CONSTRUCTION <br />[J ELECTRICAL AMP SERVICE [J FLORIDA POWER [J W.R.E.C. <br />D PLUMBING <br />[J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[J GAS [J ROOFING [J SPECIALTY [J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />D NO <br /> <br /> <br />BUILDER 4- <br />SIGNATURF(/~~/ ... <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />** * ** * * *** *.* ** * * ** ** * ** * * ***** ** * ** *** ** ** * * ** ** * * ** ** * * * ** * * ***** <br /> <br />MECHANICAL <br /> <br />COMPANY <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 />