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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ .. <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />/0 - /g-(/U <br /> <br />OWNER'S NAME <br /> <br />, I<. /) J5 e'(L T <br />3 7 9~'1 <br /> <br />r <br />tu, /\/ielL~ <br /> <br />Ct) L(...v TY f( () ,-fD <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />~Jj <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 SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />eM COMMERCIAL <br /> <br />(J ADDITION (JALTERATION (J REPAIR (J INSTALL <br />(J MOVE (J DEMOLISH f(e/Yl Ove. Fl.(e./ T4~JrS <br />(JMULTI-FAMILY (J# OF UNITS (J MOBILE HOME <br />(J INDUSTRIAL (J SWIMMING POOL (J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~e /VJ() V-e... 111Re e. ~ 6tJ~ G-/f))()# L!./Vj)e!1.GI? Ol.{.v f) T/?/V'JrS <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 <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />:O~:;pAS' <br /> <br />PERMITS REQUESTED clciD;' OA:;;t:. <br /> <br />VALUATION ;OF TOTAL CONSTRUCT~ v}-l(} <br />SERVICE (J FLORIDA POWEV - (J W,R.E.C. <br /> <br />(J BUILDING <br /> <br />$$30()D~ <br /> <br />(J ELECTRICAL <br /> <br />AMP <br /> <br />(J PLUMBING <br /> <br />~MECHANICAL <br /> <br />"" <br />$ 3{)OO ~ <br /> <br />(J GAS <br /> <br />(J ROOFING <br /> <br />(J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREA(J YES (J NO <br /> <br /> <br />BUl:LDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * jIc * * * * * * * * * * * * <br />....CIWIl:CAL ~ COMPANY 61U-l~'1Y eT1Zcle".~ C-b/i.1' <br /> <br />"4/' I' n _ STATE CERT OR REGIST # PC CQ'I S-t>37 <br />SIGNATURE ~ l-, CITY PROCESSING # ---:&. ~ 1;2.... <br /> <br /> <br />***********************************************~************* <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />