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<br />. . <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR~ 813-788-6611 FAX: 813-788-1516 <br />DATE RECEIVED <br />PLANS REVIEW FBE <br /> <br />OWNER'S NAME 8<./ ,q !/...- <br />JOB ADDRESS L.. ~ r 7"7 L ~ ;/h -<.--'9 Ii <br /> <br />PHONE <br /> <br />~/,.jT- <br /> <br />SUBDIVISION L=,)Yl-.e......~/J ~/:..,/-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />(OR~~TN FROM PROPF.R~V ~~X NO~Tr.F.) <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />q SWIMMING POOL <br /> <br />ITMOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~r-;< ,h1vJ.J <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />,CJ~L)~.I~ <br /> <br />c. ,"'........)~ij(;)i((a*g'i'i;oB.> <br />. ,_ ....,_._.,..,__.....,..,..'. ,'1-....,,'.........;...,...--......-". ....... ,c',.'" ".,", .' <br /> <br />~ <br />COMPANY L1 <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /># <br />'-(?f <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE t4'oy-'fi~ <br /> <br />, <br /> <br />COMPANY /1/ r- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / '6/ <br />, <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY LJ~ <br />STATE CERT OR REGIST # <br />CITY PROCEpSING # <br /> <br />PLUMBER <br /> <br />w~.t:(~ <br /> <br />SIGNATURE <br /> <br />*******************************************~~~*************** <br />COMPANY <br /> <br />vJ c.y- JJ::JJ70 <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # SI~ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************; <br />