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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />( ~5tj <br /> <br />--- <br />DATE RECEZVED <br />PLANS REVIEW FEE <br /> <br />PHONE g;~)' ;/7 ..:to s-s <br /> <br />SUBDIVISION If/J'7r?/~/''/ ft/tf//;v}-- <br />I <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />D REPAIR ~TALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION <br /> <br />DALTERATION <br /> <br />D SIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />~LE HOME <br />D OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK /.JA'i'/c. (110 k{ f,'<?.- P/OWr/ <br />I S'y~ ~ 36' 6// SQUARE FOOTAGE ~g-/') <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF <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 />~UILDING <br />~LECTRICAL <br />~LUMBING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/OD <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY 0 /Y) g <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />, <br />'/rv' C . <br /># OCJ(!?O~31 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ y~ <br /> <br />COMPANY Oo~J~ Il;r fl, ,10/1;5 <br />STATE CERT R REGIST # 6 A Clod [) r\ 6 Y <br />CITY PROCESSING # '"J-~cY7 <br /> <br />****************************************************************** <br /> <br />::::RE ~~~ <br />/ <br /> <br />COMPANY c... /?1 {3 J 'rv /:.~ <br />STATE CERT OR REGI~T # 0000 .j-...~'7 <br />CITY PROCESSING # <br /> <br />****************************************************************** <br />. COMPANY 001 ({lh; f'V 4.' ('- ~ } 1cY?15 <br />111 .# ' . "J _ STATE CERT 6R REGIST # C c:. Cl...J? J J g <br />..41~ ~ CITY PROCESSING # ~S/S <br /> <br />MECHANICAL <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 />