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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 />OWNER'S NAME <br /> <br />/~ ~~o,'e{j <br />~gf I ~ rYU.0i4cJ h (~ <br /> <br />PHONE <br /> <br />7R?-/~s/ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BI,OCK <br /> <br />PARCEL ID # 3S-a5-~ 1- OD70-vO{)1)() ~ GOlfS <br /> <br />SUBDIVISION <br /> <br />fOBTAIN FROM PRO~RTY TAX NOTTCEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />[] DEMOLI SII <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[]COMMERCIAL <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBILE IIOME <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ <br />~(MD La/2~ <br /> <br />RESTAURANT & HEALTH DEPARTMENT <br /> <br />~ -~O~ <br /> <br />SQUARE FOOTA E <br /> <br />AP PROVAIJ <br /> <br />BUILDING SIZE <br /> <br />IIEIGHT <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 AJ,L NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />, Vi) <br />LiL30D.~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIUlliCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARE1\O YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING n <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING II <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * I. I. * 1.1. * * * * I. * * * * * * I. * * * * * * * * * * * * * * * * <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING II <br /> <br />MECHANICAL <br /> <br />*****************1.**********1.1.1.**************1.1.*****1.*****1.****** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />***********1.*************1.**********1.**1.*************1.*********** <br />