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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 <br /> <br />U iek; <br /> <br />~,' 1'-6t ~ <br />L<-oh..J icc~ <br /> <br />PHONE <br />() . <br />Zeph.r ot: l h <br />SUBDIVISION <br />6{ t:,O -. ~ -~D (OBTATN FROM PROPERTY TAX NOTICEI <br /> <br />~ICL <br /> <br />,3.3~ 'if <br /> <br />JOB ADDRESS '"'D go (1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # {t.(- L~ - Ll <br /> <br />BLOCK <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: []SGL FAMILy DWELLING <br />[J COMMERCIAL <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />~EPAIR <br /> <br />[J INSTALL <br /> <br />o MOVE <br /> <br />[J DEMOLI SH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Rt - ~o~ <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 PLANS & (1) SET ENERGy FORMS. <br />PROPERTy SURVEy REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br /> <br />$ --S4?~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[] PLUMBING <br />'f <br /> <br />o MECHANI CAL <br />[J GAS 1JZ1.ao0FING <br /> <br />$ <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o 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 FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBC!l'RICIAN <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITy PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />.... <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***********~****************************************************** <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANXCAL <br /> <br />OTHER ~***************"':o:::~:::***ib;r'~ <br /> <br />" ~~ STATE CERT R REGIST # ~ ... <br />SIGNATURE ~ CITY PROCESSING I 0l'1~ <br /> <br />-*****~**~. ****~*******************************.****.*.***.*.**.* <br />