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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 GR:1\ND HORIZONS <br />JOB ADDRESS 7545 [;REF.N SLOPE DR. ZEPHYRHILLS FL. 33541 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 34-25-21-0090-00000-0130 <br /> <br />(ORTATN FROM PROPERTY TAX NOTTCEl <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br /> <br />(JADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PJ<OPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />[]cOTHER <br /> <br />"'5 <br /> <br />... <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />RF.-ROOF <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />1:IEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NE;W CONSTRUCTION. <br />I <br /> <br />PERMITS REQUESTED <br /> <br />(J BUILDING <br /> <br />$10,000.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />(J PLUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />(J GAS <br /> <br />II ROOFING <br /> <br />(J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0' NO <br /> <br /> <br />BUILDEP. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />\aCHANICAL <br /> <br />***********.******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />~~********************************************** <br /> <br />COMPANY R~(;~~ c.on,<s~rUc.-f:l\C"" <br />STATE CERT R REGIST # r::2-CJX)(O 16, ~)( <br />CITY PROCESSING # ~~~ <br /> <br />************************************************************** <br />