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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DA.TE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME S T ~ 0 oS (:;- P /) '5 [;;/-l /J-/UkI41(~ PHONE ?X ;) -c2x 1.3 <br />JOB l\DDRESS 38~t.J1J t-JvtCA. 38'G.~-,", Sflt flv~ 2~~t"h,i6_ FI'I <335-'10 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />11:2&, <br />, <br /> <br />:2-/ <br /> <br />00/ () <br /> <br />/700 () O{)<~TATN <br /> <br />FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR ~NSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING WMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J REST1~JRN~T & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK]ill '6 tr1~+e".. 5ell)j~t's / C~ -Q /-~~PI9,~ ~ ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />CONJ.1ERCIAL: <br /> <br />11.TTACH (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 />PERMITS REQUESTED <br /> <br />o BUILDING <br />cYELECTRICAL <br /> <br />$ <br /> <br />---.!iL~ <br /> <br />AMP SERVICE <br /> <br />_ VALUATION OF TOTAL CONSTRUCTION <br />~FLORIDA POWER <br /> <br />o <br /> <br />.Jr ,-,..J <br />W.R.E.C. /tJ/ <iN'/) , <br /> <br />o PLUI-1BING <br /> <br />o MECHANICAL <br /> <br /><: <br />.,. <br /> <br />VALUATION OF MECHANCIAL INSTALLI:\TION <br /> <br />o GAS <br /> <br />Cl 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 />FINI SHED FLOOR ELEVATIONS <br /> <br />[~ PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />CQ:N'r~C'l!QR.:SEC~IQN <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PRQCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICI~~ <br />SIGNATURE~)'J1.. bd~ <br /> <br />COMPANY ALu.; ~.u:#A-';'J <br />STATE CERT OR REGIS'!' # tEe t)(JtJ/fL"? <br />CITY PROCESSING # .;('17 <br /> <br />********************-k********************************************* <br /> <br />':.> <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CEHT OR REGIST 11 <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING 11 <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />