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<br />APPLICATION FOR PEmfiT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~alVev /)fl</lv)' <br />I <br /> <br />JOB ADDRESS 3 ~ ~ J ~ .J; ;-/I t20e <br /> <br />PHONE f /3 7 fR- ~ ~ 0 ;l- <br /> <br />2.e;;hyrA,'//s <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /1- :2~ -.;1. /- /)0/0 - /7300 .. ao9tJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J MOVE D DEMOLISH ~hAN~e'- t:Jc.L-l. <br />DMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DOTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ehl1-lVtJe ou.--L: ~ 7t)tJ IkcdPLU'YLp <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 & (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 />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D 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 />o OTHER <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 />D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />*** **** * ***.**** ** ** ** * ***** **** * ***********~~*/,****,l!!;* ** * ** * ***** *r.4/ _ <br />MECHANICAL COMPANY ~_/:ttlf"'5 !:2't:Jp/l-rJe 67rs ,. ~ ,..Lf'JC.. <br />~ _ / / .# STATE CERT OR REGIST # elf Co <139.pg' <br />SIGNATURE ..,/L-L..L.>~ CITY PROCESSING # / 7 <br /> <br />~************************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />