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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRnILLS <br />BUILDING DEPARTMENT <br /> <br />DATI!: RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME CiY\()..J\A~ ~) \ <br />JOB ADDRESS ~ B~ 0 ~ I.A.- "1(. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(O~(JYC~ <br />Z'\-\\\\~ f( <br />( <br /> <br />PHONE 9'\3 . {~Z. \9~3 <br /> <br />BLOCK <br /> <br />PARCEL 10 If I ( - 1Cn ' C. \ . Q..r,)( D'I ~~ O~- DD L-'0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATlON o REPAIR o IN5TA1,L <br /> OSIGN o MOVE 0 DEMOIJISII <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY Olf OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o RESTAURANT &. IIEJ\LTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Ouv-o. \ a...~"\ \l~ .bCl~ <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 PIJANS &. (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR Al.IJ NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ ~ / qco <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o F'RAME <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 />SIGNATURE <br /> <br />~ <br /> <br />~- <br /> <br />i I! !,! lHH! H! '!jif PHl! lIP!.'!j I jii 11J:l Hj'[Jfi f11 H n HliHII'I-j llHli PI ilH~n Ii I (1 iHltj nIl! <br />ill II Ii!!,.,; i ili II 'II" 1111 'IlIj] Ii I' Iii I; i Iillhill Ii! i illi Iii i", Ilipll IiJijj.; HI'q.I'1 Ii" idJ"li: <br />lUllllili.JJ.i..l:k.! :t.,d.j~~ !i'':f-IA-1l. !.h,.i~ !Lgj I! 1. h .-,l!-!.! H4!.!-!!i. L!j i.l.n.:!:'.~ fiiEil.;;::' <br /> <br />coMPANyl?Ctu[ SChClfqv <<o~(~ tnf. <br /> <br />STATE CERT OR REGIST If ('(-enS S' ~I <br />CITY PROCESSING L 2?;L <br /> <br />BUILDER <br /> <br />***************************~*****~****~**********~**~*****~******* <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING If <br /> <br />******************************~**~*~~~**~~***~*~~~**~~**~*****~~*~ <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING If <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />***~*~***~*~****~**~~*~*~*******~*******~*'**************~***~**** <br /> <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING If <br /> <br />SIGNATURE <br /> <br />**************~******'~***~~~*~*~*~***~~~*****~,~~*~*~~**~******~ <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING If <br /> <br />**'*'********************~'***~~,~*~~*~~*~~~**~~*~**~****~****~~* <br />