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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />\ r. "riP, ' ....,;:~ c) 1(.1- \ <br />;4t\JJI~... ! - (;1.. I ,., I <br />\.--,-- --~-:------ <br /> <br />/ - ~'{)..- Ot2- <br />DA~l'E RECEIVED . <br />PLANS REVIEW FEE <br /> <br />1f-,1-'\ '17'5 - 2.t.)S'c, <br />PH6~~,? 1 z-- 3o<~ 5>,d- <br /> <br />OWNER'S NAME <br /> <br />J)~/)n/1 <br />SLJ3L/ <br /> <br />/11 t:.. LYi-1) / <br />7/1,. 57.. <br /> <br />.~ ' <br />- -/ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />.SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />· COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br /> <br />7'15 <br />- ? 5- <br /> <br /> <br />APPROVAL <br /> <br />/ P ou? <br />I tJ;qU-- <br /><} ( <br /> <br /> <br />BUILDING SIZE <br /> <br />'10 <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ /s7JtJ <br /> <br />a-P- <br />--- <br /> <br />PERMITS REQUESTED <br /> <br />.-:-'"') () <br />j,./ (P J/l ~ I :.v,v <br />4; \'3 - ?> 3 '1- ~ ~ ('), <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o 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: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA[] YES 0 NO <br /> <br /> <br />!Ji.'lli.!'lilii!!i!!11i!!illl!il"" <br />U ~ COMPANY Aiv/Z &,., ~/ ~ <br />' <::::- STATE CERT OR REGIST # ......bc...('}L/~<.1 _ <br />SIGNATURE --== - CITY PROCESSING # .:2 q,~ ~ '-11_AI tUe..1- "t- <br />' C:fJ.~ 13'-/.&'117 Cc.c.. 0,/0 I) ~J ~c7tJ~ <br />*************************************~*************************~* C, <br /> <br />C-f C 0~'c-l{7 ~~ I <br />ELECTRJ:CJ:AN COMPANY _ ,_ <br />/ STATE CERT OR REGIST # <br />SIGNATURE t..~, CITY PROCESSING # ~/J <br /> <br />***********************************~~~**~~~**** <br /> <br /> <br />BUJ:LDER <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER ~~4 ~;:;"''2f:1F;;~***''::~::::'''(;::TI-'''''''''''' <br /> <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />**********************************~~~*t;t*~t?~____ <br /> <br /> <br />. -<1P; /" .~Cv ds~~(.5? <br />/"y I .j,-' ~.o;;,. '/>4~ <br />, f",-,.7 ^ It" <br />1(}~~~'" <br /> <br />....'<;:;.,,' <br /> <br />.. <br />