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<br />APPLICATIOli FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 0,} J~ nfu')f!.5 ~1e6;'1 Dv1 5b.nol_ PHONE it1(J- ~ 3 <br />JOB ADDRESS @ r~(~-" Flw~ . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />$UBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED:ONEW CONSTRUCTION <br />OSIGN <br /> <br />{OBTATN FROM PROPF.RTV TAX NOTICEl <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING }?OOL <br /> <br />, <br /> <br />o MOBILE HOm <br />q OTHER <br />, <br /> <br />~ <br /> <br />BUILDING SI~E <br /> <br />o RESTAURANT <br /> <br />"O~ -:g€- (0<2~ <br /> <br />& HEALTH DEP~TMENT APPROVAL <br /> <br />DESCRIPTION OF <br /> <br />SQUARE rOOTA~E <br /> <br />HE+GHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL :. <br /> <br />ATTACH (2) PLOT PLANS & (2) SET~ OF BUILDING P~S & (1) SE~ ENERfY FORMS. <br />ATTACH (3) SETS OF BUILDING PLAils & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FORALJ:, NEWCONST~UCTION. <br /> <br />., <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ 3/ ltS () 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 /> <br />o PLUMBING <br />,/ <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VAl.UATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />\~ <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 />BUILDER <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 />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * *.* * * * f.; <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />'0.'. <br />. ..~. <br /> <br />.t.. <br /> <br />~.1" <.: :~ <br /> <br />ldECHANICAL <br /> <br />***********~****************************************************** II <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />***************************************************************** <br /> <br />***************************************************************** <br /> <br />COMPANY~~~ ~~LlrL (/C <br />ATE CERT 0 REGIST # . ..~. <br />cr TY PROCES S rNG # ;;;;;r-? P') . . .. .':.' :: <br /> <br />i <br />I <br />, <br />, <br />i <br />