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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />16~~~ <br /> <br />DATE RECEIVED /-;2 3 .-e~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ffitt,J lJMi4'J1.xJ 7JJ.1/ I, <br />JOB ADDRESS .31$/3 ,- ~4IVOJ. s IJtJC, <br />LEGAL DESCRIPTION: LOT(S) ~tl BLOCK <br />PARCEL ID # 3z/ -(;?S- - :2./ - ()() / ~,- () /"3CJ (J <br />WORK PROPSED: )QNEW CONSTRUCTION <br />Os I GN <br /> <br />PHONE !I] -- ~>.j 2 -It' ~, <br /> <br />SUBDIVI S I ON .t?'dJI\l/ /J-lJ 1. {.vl~ Jh;ljJ <br />(OBTAIN FROM PROPERTY ~AX NOTIC~) . <br /> <br />~ADDITION <br />o MOVE <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />)(iMOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />(ry! 3) <br />7S;J.-3~~1 <br /> <br />~ILDING <br />UYfLECTRICAL <br /> <br />$ /,~/}ll <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 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 <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />, . CITY PROCESSING # ;);)<{ I <br />, <br /> <br />*******~*************************************************** <br /> <br /> <br />C COMPANY Ac! E: - ,l~J-' <br />STATE CERT OR REGIST # ~OO(J(J(}6 /. <br />CITY PROCESSING # ys <br /> <br />SIGNATURE <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 CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />