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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 />OWNER'S NAME 6- r t:< )1 d
<br />JOB ADDRESS lor: ~/
<br />
<br />III) t'i L 011
<br />
<br />;3 7 L/ d;;)
<br />
<br />PHONE
<br />
<br />/()eu k~n1
<br />
<br />/I ve
<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: [JNEW CONSTRUCTION
<br />
<br />[J ADDITION
<br />
<br />[JALTERATION
<br />
<br />[J REPAIR
<br />
<br />[J INSTALL
<br />
<br />[J SIGN
<br />PROPOSED USE: [JSGL FAMILY DWELLING
<br />[J COMMERCIAL
<br />
<br />[J MOVE
<br />
<br />[J DEMOLISH
<br />
<br />[JMULTI-FAMILY
<br />[J INDUSTRIAL
<br />
<br />[J# OF UNITS
<br />[J SWIMMING POOL
<br />
<br />EIMOBILE HOME
<br />[JOTHER
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />DESCRIPTION OF WORK
<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 />[J BUILDING
<br />
<br />$
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />[J ELECTRICAL
<br />[J PLUMBING
<br />[J MECHANICAL
<br />
<br />AMP SERVICE
<br />
<br />[J FLORIDA POWER
<br />
<br />[J W.R.E.C.
<br />
<br />$
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />
<br />[J GAS
<br />
<br />[J ROOFING
<br />
<br />[J SPECIALTY
<br />
<br />[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 AREAD YES
<br />
<br />[J NO
<br />
<br />
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<br />BUILDER
<br />SIGNATURE L0~~
<br />
<br />COMPANY .k!. u rf~;, .r;'r-' ('r:1
<br />STATE CERT OR REG I ST # . tY
<br />CITY PROCESSING # LI a
<br />
<br />******************************************************************
<br />
<br />SIGNATURE
<br />
<br />tJ~~
<br />
<br />COMPANY /f{'7 <-
<br />STATE CERT OR REGIST
<br />CITY PROCESSING #
<br />
<br />#
<br />If/?
<br />
<br />ELECTRICIAN
<br />
<br />PLUMBER
<br />
<br />****************************************************~**********
<br />
<br />
<br />COMPANY 6,~
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
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<br />
<br />SIGNATURE
<br />
<br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * & * * * * * * * * * * * * * * *
<br />COMPANY . t!-e-
<br />
<br />MECHANICAL
<br />
<br />SIGNATURE
<br />
<br />~.
<br />W~LJ. ...
<br />
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING # ~/~
<br />
<br />*****************************************************************
<br />
<br />OTHER
<br />
<br />SIGNATURE
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />*****************************************************************
<br />
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