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<br />,..--'.-. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATIl: JU!:CJUVJI:D <br />PLANS IUWZBW I'K& <br /> <br />. , <br />OWNER'S NAME (:\f\.\;)b(\\...t\.... ~\ r'5c..h"'~(\:-,"Z... <br />JOB ADDRESS 5"1 \ 3 JIll C\~~ S -\- . <br /> <br />PHONE <br /> <br />~o\,q3~S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 f# \ \ '1."",, '1..\' DD\O' os 1.0 DD. 00'40 <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />/OBTAIN FROM PROPERTY TAX NOTIeRl <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~ULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK S'v\\C"\~\e. ~UDo-t <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIlJL: <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 />o BUILDING <br /> <br />QQ. <br />$ ~ 1'Dt:D ' <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />o SPF.CIALTY <br />. <br />TYPE OF CONSTRUCTH~~: 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 AREAO YES <br /> <br />o NO <br /> <br /> <br />ilL r!l, ;11111JI,fl <br /> <br />BUI LDER COMPANY S c.. h.o..p er'K oo-h;' ~ <br />. /J STATE CERT OR REGIST "c.c.- OS~ \ ~4 <br />SIGNATURE ~(la/(lJ...1.1 P-OA. CITY PROCESSING If '2..~ '2.. <br /> <br />.................................................................. <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING " <br /> <br />. <br /> <br />.................................................................. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />...........~...................................................... <br /> <br />COMPANY: <br />STATE CERT OR REGIST " <br />CITY PROCESSING If <br /> <br />SIGNATURE <br /> <br />................................................................. <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING 1# <br /> <br />................................................................. <br /> <br />~ <br />- <br />