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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEXVED <br />PLANS REVIEW FEE <br />5~~-~1'3 <br />1~O-8~(PD <br /> <br />tt. OWNER'S NAME -(AM rn~. e () rYlflO~ <br />"'JOB ADDRESS 574~~l. ~t. le-fk1rb.LLI~ <br />q 4- I 0 BLOCK 7 ~ <br />1l-(J.l.9 -al -,oOLO -07;;" 00 -OCF!eJ (OBTAIN <br /> <br />PHONE <br /> <br />~~ <br /> <br />f-' <br /> <br />"3 35 t.{D <br /> <br />f\ LEGAL DESCRIPTION: LOT (S) <br /> <br />SUBDIVISION <br /> <br />"PARCEL ID # <br /> <br />FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />)(fALT E RAT I ON <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED <br /> <br />D SIGN <br />USE:~SGL FAMILY <br />D COMMERCIAL <br /> <br />o MOVE <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br />I <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />t',OJL n~ <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 />~ BUILDING $i ,~OO ./lil VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL ~on AMP SERVICE 0 FLORIDA POWER D W.R.E.C. <br />o PLUMBING <br />~ECHANICAL $ 100.0..2 VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING D SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: I)f BLOCK <br /> <br />D FRAME <br /> <br />D 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 COMPANY U VI rJ fU <br /> <br />.f" /VU A~u,1 IY7 /I .(J-: STATE CERT OR REGIST # <br />\) SIGNATURECV./u/"V,(J'" / " (~J,.) CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN -f}--. <br /> <br />,<SIGNATURE ~ t1 ,(I ~ <br /> <br />COMPANY 0 u rJ U <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * f(:,/l * * * * * * * * * * * * * <br />\ MECHANICAL . COMPANY 0 IN N _ <br /> <br />SIGNATURE Ja ~ ffj. (l.m<~ ~i~~E P~~~~S~~N::IST # <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />