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<br />APPLICATIOlq FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME L-U;6 P V'l e _L- CrJ II ~ /?& <br />JOB ADDRESS 3<3' f)t:..D ~a..-u..J~/X ~Op <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />z:o : <br />PARCEL ID # 1'-/- U- ;;J{ - 011.6 - OM6D- ,.,Z;IOBT~Tij FEO PROfF.BTX TAX NO'I'T CF. I <br /> <br />PHONE <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMI L Y D# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL qOTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />.-=h<- - ~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HE+GHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING P~S & (1) SET ENERfY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~S. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ 0;2 <~ z.~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C., <br /> <br />P PLUMBING <br />o MECHANICAL <br />o GAS ~OOFING <br /> <br />$ <br /> <br />VALUATION OF ~mCHANCIAL INSTALLATION <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 />BUI:LDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************....*****.****.*...**.......***.**..*.....****..... <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST #, <br />CITY PROCESSING # <br /> <br />****************************************************************** <br />- <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />htECHANlCAL <br /> <br />***********.***********..*.**.*************************.*********** <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~ r ., <br /> <br />SIGNATURE <br /> <br />OTHER (;(/5J;", "'0- <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY 1iZ~(I'\(,l" ~'o~ <br />STATE CERT R REGIST # .. 4 <br />CITY PROCESSING # J:]!J . . .. <br /> <br />***************************************************************** <br />