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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 />LEGAL DESCRIPTION: LOT(S) <br /> <br />(lnA ~ <br />::E::R::, j?/3'~-~~~~ <br /> <br />/). ~ BLOCK ce4 <br />PARCEL ID # 0/,10 - ~ - 6370 <br /> <br />PHONE <br /> <br />p~~~ <br /> <br />"SUBDIVISION ~I <br /> <br />356711 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />[J ALT E RAT ION [J REPAIR ~ INSTALL <br />'-.) <br /> <br />PROPOSED <br /> <br />[J SIGN <br />USE:~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLI SH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT <br /> <br />Q}?-- (~Otd 3J!< -Ian / <br /> <br />SQUARE FOOTAGE <br /> <br />APPROVAL <br /> <br />J3~1. liP (~/Jt.--?\.-O;t: <br /> <br />BUILDING SIZE <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />XMECHANICAL $,-r:S6l0. aQ.. <br />[J GAS [J ROOFING [J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J 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 AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />** * * * * * * * * *.* * * * ** ** * * * * * * ** * * * ** * * * * * * * * * ~ * */*:::J..*' **~** * *.*' . <br />COMPANY ,~, ~A 'AJ.vJ2~ <br />1,~ acAd /1#, 'd/ ' STATE CERT OR REGIST # C!..MC!- o.s~ g/!~ <br />_ CITY PROCESSING # ~ <br /> <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />