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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 />OKNER'S NAME (~lJVd~~, 1< ~rpp.d ~~ <br /> <br />JOB ADDRESS 38S \ 5 5 ~ Av<.." <br /> <br />PHONE tgg ~ c5(~fS () <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID It ".~(IJ .~/-(){)(O <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />I 5;)00 -. 011./ () <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />[] SIGN <br /> <br />o MOVE <br /> <br />[] DEMOI,I SH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[]COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBI LE IIOME <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT &. HEl\l,TH DEPARTMENT APPROVAl, <br /> <br />~lJ.AO ~t ~<::2~ <br /> <br />SQUARE FOO AGE <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 FI,ANS & (1) SET ENERGY F'ORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />15.'8SD.'DO <br /> <br />VAI,UATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.c. <br /> <br />o PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIUlliCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] 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 F},OOD ZONE AHEAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY . <br />STATE CERT OR REGIST " . <br />CI'l'Y PROCESSING L ;;)8 &-.. <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 It <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />***************************************************************** <br />