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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED / - :z 3-0;7.. <br />PLANS REVIEW FEE <br /> <br />/5; t'lJLt:/ )ft.? i J ~ J ) <br />JOB ADDRESS.. 375" J 3 JJJ/J/J)/~ I7vc- <br /> <br />7tf <br />PARCEL ID # 3l.f- /~,~- ;2/- {)()/(7 - 0 I ,~'" I) <br /> <br />OWNER'S NAME <br /> <br />PHONE ,1/3 - 7JJ;;Z - J R /-; I, <br />. <br /> <br />SUBDIVISION ~'-rd,/!1 !Io -0Z{)I)S j);j){? <br />(OBTAIN FROM PROPERTY TAX NOT~CEl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />If!. I NS TALL <br />/lIt~IL\Jk~ <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />'~OBILE HOME <br />o OTHER <br /> <br />D RESTAU~T _ & HEALTH ,?PARTMENT APPROVAL <br />DESCRIPTION~ WORK lru-lu, .. ~A < ~ Ii f/} <br />BUILDING SIZE ~ ?c'/S 2.- SQUARE FOOTAGE J'It c.j <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 />171 M.-k I/v,~ 'f <br />o BUILDING $ <br /> <br />~LECTRICAL <br /> <br />~LUMBING <br /> <br />~ECHANICAL <br /> <br />C13tJ(J~ <br /> <br />PERMITS REQUESTED <br /> <br />(jd -(f(3- df7 -/I f{) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />>c-)tJ(). C7J <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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />ELECTRICIAN "00........ ~J;;"''''''''O;;;~;;:'ii~?~::;ii~ <br /> <br />SIGNATURE' # A ; 4- iL~ CITY PROCESSING # 45 , <br /> <br />******************************************~~:~~~~e, <br /> <br />,) COMPANy(1 ~~:fJ""7' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ?-.'d. L\ \ <br /> <br />MECHANICAL <br /> <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />***************************~********~**~****~**:f/ . <br />COMPANY /.~~- x:;jI.L/J A/71 ~<-et..r;.:;-.::J <br />I STATE CERT OR REGIST # (!/J(lO 397~ 6 <br />~ CITY PROCESSING # 'Ie; . <br /> <br />************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />