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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR'1'MENT <br /> <br />DATE RECEIVED <br />PLAN'S REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />U)JJ--CfJswerdJ :T/0~wro~~ <br />C; .S- d-- I J +?2Cf, u ~ V r <br /> <br />PHONE <br /> <br />?2;;< -B(~( <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />47~ #/~ <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 />o BUILDING <br /> <br />$ <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 />DGAS <br /> <br />o ROOFING <br /> <br />11 <br />$ ?j~1 OUr <br />( <br />o SPECIALTY <br /> <br />00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY 0't2s-c.-C'"' I~ s E-/~ck..;c <br />, <br />STATE CERT OR REGIST # ~c. 00 c/ ..:? S 7 d <br />CITY PROCESSING # I "VC" <br /> <br />ELECTlUCIAN <br /> <br />****************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *~* * * * * *;<< * * t'* * jI)I< * ~ ~ <br />COMPANY: t.o6i G-o-a,.~ {V~ ., <br /> <br />STATE CERT OR R GIST # <br />CITY PROCESSING # / 8 .:L <br /> <br />MECHANICAL <br /> <br />**************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />