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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />1'/,?!o ' <br /> <br />#', <br /> <br />OWNER'S NAME /l?iJIZ!r or! D (/,..J/V/;J Il'/J ('C( (: PHONE '/ /j~ ;JJ.r~ <br />JOB ADDRESS .9/r-- /,yr,o/'~/ 2 CP /1//( ,d" /;' /2~/ <br />LEGAL DESCRIPTION: LOT(S) 4~:/ ~- BLOCK /7,/ SUBDIVISION 7()z,-,,~ (}r ?~a: <br />PARCEL ID # II -;2(; -~ / (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION 12rADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> -I <br />DESCRIPTION OF WORK .~ DC ....1 f')..../cL IT" It ,../ ..,.. ~, /' -'-r <br />r- I' , <br />BUILDING SIZE 3~'IJ ).. :;'4 }(36 SQUARE FOOTAGE /20 tj <br /> , , ., <br /> <br />HEIGHT <br /> <br />'() I <br />/ <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 />M BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o 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. AREAO YES [i'NO <br /> <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />COMPANY k6 4ll./I-'f1'/ fYlLJA1 J. L1M' <br />STATE CERT OR REGI ST # C ~(l tJ~? '-/ t;.I{) <br />CITY PROCESSING # ~~ <br />61( <br />****************************************************************** <br /> <br />;- ftl' <br /> <br />BUILDER <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY C'';'- #- -.:::P {)~.,4 ~ E rfc~ <br />STATE CERT OR'REGIST # 00 ~ /6 0 <br />CITY PROCESSING #~f/' {..... ,,} A/, 1,-0 <br /> <br /> <br />*** ** * ** * * * ** * * * * ** ***** ******** * * * * * * * ,"'* * * **** *OK. <br /> <br />***!t************************************************************ <br /> <br />Yr1 D~ <br />COMPANY \ <br />STATE CERT OR ~ # C) C) <.0 't . (;:) { <br />CITY PROCESSING # ~. - ( ~ : (' <br />... 2.\ (p <br />**********************b*~)j~~***t*****C**~ ~ A <br />COMPANY 0 ~ IAl -, 7' I <br />STATE CERT OR REGIST we:,":> ~ll. ~ ~~:" <br />CITY PROCESSING # '1), ' - <br /> <br />PLUMBER <br /> <br /> <br />SIGNATURE <br /> <br />* * * ** * * *** *.** * * * ** <br /> <br />MECHANICAL /' / <br />~ ~ ;:,-//11 <br />SIGNATUR ,0 //W..1'rV;;': ii' jfh ~...~ <br /> <br />,/1 .' <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************"'******** <br /> <br />J <br />