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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATI!: RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAMEtShu.plM..d-tr_ -r( ))b11o,~ <br />JOB ADDRESS 38180 YY\ldvwJ G~. ~ <br />. <br /> <br />PHONE 7f 3 -( (t~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # 3~:)'q 5 -~ '.0010 - DOOD{) _ a?5;L- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPS ED: []NEW CONSTRUCTION <br /> <br />/OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />o SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[]COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SII <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBI LE nOME <br />[] OTHER <br /> <br />CJ RESTAURANT & HEAI.TH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK DUAOtu-l- ~-^-", <br />BUILDING SIZE 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. l <br />ATTACH (3) SETS OF BUILDING PIJ\NS & (1) SET ENERGY FORMS. \ <br />PROPERTY SURVEY REQUIRED FOR ALl. NEW CONSTRUCTlON. <br /> <br />o BUILDING <br /> <br />$ '~~.I 300. ~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.c. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />~~*~~~~~~****~****************~**********~***********************~ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING " <br /> <br />~~*~~~**~~*~**~~~*~**~****~************~********~***************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />MECHANI CAL <br /> <br />"" "" "" "" "" * * * * * *.* * ~ * * "" * "" * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *,~ * * * * * * * * * * * * <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />**""""**""""**""*""**************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING ff <br /> <br />***************************************************************** <br />