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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 \f\ ()J(~ If0 V\ Drq S~\\ 0 (l <br />JOB ADDRESS 6oCl-\ D If\tOAr &.J ~ <br />. <br /> <br />PHONE ~ {3 '1'(; ~ -(~U~ <br />L /~U~ l\=~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # \~. 7 \,p '7 \-0)1 (yO) 9lJ-J 'U\), ~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTML <br /> <br />[] MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOJJ <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT (, IIEJ\I.TH DEPARTMENT APPROVAIJ <br /> <br />ZL S~ <br /> <br />))~ AV\O\ t>- <br />D <br />SQUARE FOOTAGE <br /> <br />\re,. V ()D + <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUI LDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALTJ NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />\) L\?tD <br /> <br />f <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELEC'fRICAL <br />[] PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MEClIANCIM INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN Fl.OOD ZONE AREJ\O YES <br /> <br />o NO <br /> <br /> <br />till!!!! II m III 111m lj1llljm iJ) m IJIII1UlmllJliili1i [Mil] <br />(;.A) I S) A0- <br />co PANY. r r~ f'C9D <br />STATE CERT OR REGIST~ <br />CITY PROCESSING If 3.... <br /> <br /> <br />!ill!:!!.'!III] 11rullUlj <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />G--~ <br /> <br />...............****.****.***.*.********.*.*.*.**.**********....*.. <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING If <br /> <br />SIGNATURE <br /> <br />..*.*************.***.******.**************************.***.****** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING If <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**********~******..******.********..*.....**.**.....******.*.**... <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING If <br /> <br />MECHANICAL <br /> <br />.*..*.....*........**************.*.*******.****.*.*****.*.****.* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING If <br /> <br />SIGNATURE <br /> <br />*...**.*..****.************************************************** <br />