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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 .~; tlJlJ#a/fr i Ym~;t1E-RGpZH:=5 <br />JOB ADDRESS 59d5 F01er K.'UUb I€QM <br /> <br />PHONE~J 3) 7f3d- ~ 7S-08 <br /> <br />LEGAL DESCRIPTION: LOT (S) I 7H,eu f:) BLOCK <br />PARCEL ID # II-~It-OJ..I-OOID -00'1[0 -OOl 0 <br /> <br />9 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />IJI.s I GN <br /> <br />[J MOVE <br /> <br />[J DEMOLI SH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />8cOMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~/r;A J <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 />[] BUILDING <br /> <br />$ <br /> <br />/. J !}...) , r!.f2 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br />[] MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[J ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[] FRAME <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />BUILDER ~ a' d COMPAN <br />I / / ~ fj STATE CERT OR REGIST <br />SIGNATURE . d'~..I ( ..G-TA, CITY PROCESSING n <br /> <br />****************************************************************** <br /> <br />ELECTRl:CIAH <br />SIGNATURE ~ r ~ <br /> <br />COMPANY 'Ft;t:.. b LECf'e..t. C <br />STATE CERT OR REGIST # ER-ao04(.,40 <br />CITY PROCESSING # J 0<, <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECBAHlCAL <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />. I <br /> <br />. ',l' <br />