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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEi; <br /> <br />OWNER'S NAME-CJ eOMOr) e.. L I' ~U Cd'S l:[n ~_ I <br />JOB ADDRESS~a W~ ~G\.ll is lvd 2e.ph\/lhi <br />. I <br /> <br />PHONE '5?" I :.l- '7 &S--~Y!:1Lj <br />')ls\ rLA,335 /' <br /> <br />I y . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.0 1# 35 85" ~ I 001 D O'6~OOa..JCO(OBTAINFROM <br /> <br />PROPERTY TAX NOTICEl <br /> <br />.' <br />WORK PROPSED: ONEW CONS'!'RUC'!'ION <br /> <br />o ADDn'ION <br /> <br />~RATION <br />I <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~ERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT. HEAL'f11 DEPARTMENT APPRiVAL <br /> <br />.Q4~ .-<1~ r ,,-.sf- 3 h.OEl ()~ , <br /> <br />SQUARE 'FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMs. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />PERMITS REQUESTED <br />~. <br />$ ~(J) VALUATION OF 'l'OTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIIl\NCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONS'fRUCTION: ~K <br /> <br />o OTHER <br /> <br />o FIU\ME <br /> <br />o STEEL <br /> <br />G--<:ffHER <br /> <br />~ <br /> <br />,FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />COMPANY <br />STl\'!'E CERT OR R <br />CITY PROCESSING <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />***********.******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING ff <br /> <br />***************************************************************** <br /> <br />.. <br />