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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION -If /{).l5~ <br />BUILDING DEPARTMENT 813-788-6611 FAX: 813-788-1516 "--8-0;;{ <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />fL~J' be. r3. II ~ <br />~'5-O:3 /0 T .5"11'e.ef J <br /> <br />PHONE(8/3J 78;2-& Ol. 03 <br />2ejJ ),.j""", ~ Ll~.J Fl. .33 '7--0/"0 <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # / 1- ~t - ~ J - CJ t) /0 - J /... 9t.?() -"0.... .,~OR'PUN FROM PROPF.R'PY 'PAX NO'PTr.F.) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[]SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />[]COMMERCIAL <br /> <br />[] ADDITION <br />[] MOVE <br /> <br />~LTERATION <br />[] DEMOLISH <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[]OTHER <br /> <br />DESCRIPTION OF <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORKlfglAaL CAc,AJje 44fJ 5N~LL 3 +()AJ /;l5c?:@~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />MA 70 6c15il:1 <br />/) (ACT. <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 />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br />[] PLUMBING <br />~ECHANICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA [] YES <br /> <br />[] NO <br /> <br />C()~wqJ(S.Qtj,J;Qif <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****[]**** ********************************~**;.t**~~**~t**~*A I <br />M1!.CBNlU.CAL ~ COMPANY ".1 ""'~ /71 '/- <br />- , STATE CERT OR REGIST # CJJ 't:J"-7 8 71 <br />SIGNATURE 1, CITY PROCESSING # ~~ ;;20 <br /> <br />***************************************************************** <br /> <br />OTBlIlR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />