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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED g2.i=- ()) I <br />PLANS REVIEW FEE. <br /> <br />OWN>E.R'~HAMEI;f" Vi~w ll\~dl(c..j~ts__:~rtUc ~z:t?-?'n;) <br />JOB. ADDRESS ~ 09 ~L_+- ___ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID 1# </-I-;;s:-? 'r-et:JOO"OD":500-00;?l.-/ (OBTAIN FROM PROPF.RTY TAX NOTICE) <br />WORK PROPSED: ~ CONS'l'RUC'l'ION 0 ADDI'l'ION OA~TERATION <br />.\ <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />I, <br /> <br />OMULTI-FAMILY <br />o INDUS'I'RIAL <br /> <br />-0" OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />. 0 RESTAURANT & HEALTH DEPAR'fMEN'f APPROVAL <br />DESCRIP'UON OF. WO~K [1 A_ .-U- ~~ ~~..Q~ <br />BUILDING SIZE s.-O Y / 3::J SQUARE FOOTAGE.2.2CO ~) HEIGHT:::2 "f~ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PL01' <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED F'OR ALL NEW CONSTRUC'fIO~ ~ ;<..-F P <br /> <br />~ILDING <br />~ECTRlCAL <br /> <br />PERMITS REQUESTED <br /> <br /> <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />m.1LUMBING <br />~ECJlANICAL $ <br />o GAS ' ~OFING 0 SPECIALTY <br /> <br />l. ;, \. '~; . <br /> <br />TYPE" ~F CONSTRUCTION: ~LOCK <br /> <br />VALUATION OF MECIIl\NCIAL INSTALLATION <br /> <br />o O'fnER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o O'fHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY H r S --t C \0..$.<; ~(~C+, <br />STATE CERT OR REGIST 1# ron IX tt;;7() <br />CITY PROCESSING 1# Jell () <br />. <br /> <br />BLJl:C'1'IUC <br /> <br />-, <br /> <br />*************************************~~~ <br /> <br /> <br />COMPANY~ ( . <br />0......... STATE CERT OR REGIST 1# ~?~ <br />(',u, ~ . CITY PROCESSING If: /9 Q-f) <br /> <br />~ <br /> <br />PLUM8BI\ <br />SIGNATURE ~ ,,2 J <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *... * * * ~ <br />MBCBMICAL COMPANY: <br />. .;M; ~ ':d.. ~ STATE CERT OR REGIST <br />SIGNATURE ~/ (' JL- CITY PROCESSING" <br /> <br /> <br />******* *************************************** <br /> <br />\.'i i t:; . ~ t -t -t ' <br /> <br /> <br />OTllBl\ <br /> <br />;,; q;).~. >; '.I ~ H~ t ,~, <br /> <br />COMPANY <br />STATE CERT OR REGIST If: <br />CITY PROCESSING If: <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />'\ <br /> <br />, . ')' <br />. I <br />