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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />t:!-V1 <br /> <br />DATE RECE:IVED <br />PLANS REVIEW <br /> <br /> <br />OWNER'S NAMc-\\-\.t>\J ~ \\ ",. J R $\ .~~c... <br />\ ' <br />JOB ADDRESSJ4~1.1..\ p..\~~uQ\ ~t), 'Z.E~"',{Rr\lU.S <br /> <br />PHONE. 1 t) '. -., 7 D D <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />~L) <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JALTERATION [J REPAIR ~STALL <br />[J DEMOLISH <br /> <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />[J MOVE <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL '. "\ <br /> <br />DESCRIPTION OF WORK.-"""WS1'f\L.L 4 t\\J~c. <;'1{<;'lUJ\S \N 'MJ\c...\1,l.vt:.. ~HoP (1't\f)(t\J\--\iJP",>'l'S_) <br />\ I /" <br />BUILDING SIZE f~~ SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />~BING <br />MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J GAS' [J ROOFING <br /> <br />$ 21) ~1..0 <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREA[J YES <br /> <br />~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************'k********* <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 />MECHANICAL COMPANY ~t-\~';\..i-} J:>.1l2. ~ R~(? <br /> <br />111} 0 ?_. . ~ _ ,# j J.A . STATE CERT OR REGIST' # (.A.cn I)~ \.~'1. <br />SIGNATURE ~ ~~ CITY PROCESSING # <\C1 D ~~ It''t"lO <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************k******** <br />