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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 10 -.24-- D/ <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />'DaY) <br />CO, 1.., <br /> <br />, <br />t <br />\ ~-th <br /> <br />~ E \[5 ~ C.."I, 5 \ \'V\EL( <br />S. ~ ( '2'/ / I) <br />-\- .- <e- e-+t -<.../) h y r f'1 I' I ') <br />/ I <br /> <br />PHONE <br /> <br />1'R~ -o3~~ <br />3 3S-q. () <br /> <br />OWNER'S NAME <br /> <br />,F /~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # t):l,. - :l.lo- :l \ - b , ~o- nbOD/")- 31D (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />t8l. INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />tl1 SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />S I - , ~ VV'I """" ; Y"'\ <1 ~ 0 l) \ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br /> <br />TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />~ FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <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 0 NO <br /> <br /> <br />BUILDBll ~ . COMPANY CnOA\ 'X:~\e ~"";""l!!ln~ P<x~\S <br />. STATE CERT OR REGIST # k> P - 00 Iv 31" C, <br />SIGNATUR"...- _.4.J -IJ4v CITY PROCESSIOlDk d '{~& . <br /> <br />********************************************~****************** <br /> <br />ELECTRICIAN <br />SIGNATURE _tc"._Vy~J..L~\:.J ~ Q O~ J <br /> <br />****************************************************************** <br /> <br />COMPANY Ft~ Et.t~c <br />STATE CERT OR REGIST # ER... 0OO4~40 <br />CITY PROCESSING # I~ <br />t../"'"'. <br /> <br />PLUMBER <br /> <br /> <br />COMPANY ern rA Q ~ (h 0 0 ~O~ <br />STATE CERT OR REGIST # Q ~ ~ (I') o3~ ~2. ~I <br />CITY PROCESSING # .~ :i 0/ t? S- <br /> <br />~ <br />, <br /> <br />SIGNATURE <br /> <br />Ml!:CHANICAL <br /> <br />*********************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER 1!~71 ~ W/E7 ~ <br />/ ~1/ .. .... . / <br />S I GN~~~:t;;1.-~-~~ . . <br />?" <br />/ <br /> <br />***************************************************************** <br /> <br />COMPANY ~/i7 <br />STATE CERT OR REGIST #/\ <br />CITY PROCESSI~(; .#;i. <br /> <br /> <br />*********************************************f**. ************* * * " <br /> <br />"--.... '. r;~Op-.' <br />-;it- - . <br />