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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DA:rE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME S-f. -~5('fA~ rku.rcA <br />JOB l\DDRESS 3g>gtJ"z 5;rlt. Ai/~ 2qk.; r)1/ /6 <br /> <br />PHONE Y/3. J~,t - ,;z~/3 <br /> <br />F/., ?3 ~'ftJ <br />/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o-INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />c=J RESTF~JRN~T & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK :J.-;,v.5/??.J/ ;lieu? tJVMhe...d Serf/la A"~l1tr1f h /pJ,.eJohe,P ,Yl rr'l~ri'1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMHERCIAL: <br /> <br />l...TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (11 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 />D BTJILDING <br /> <br />$ tf<2 ~ 'fir <br />.:Uc) <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />@"ELECTRIC1\L <br /> <br />o PLUJ.1BING <br /> <br />D MECHANICAL <br /> <br />~. <br />.,. <br /> <br />VALUATION O~ MECHANCIAL INSTALL~TI0N <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />E'WI SHED FLOOR ELEVATIONS <br /> <br />[;; PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />L___ <br /> <br />CON':rAACTQR.i.SEC':rION <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PRqCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~h ~nrvR'- <br /> <br />COMPANY PtLIZU z:e~~~ <br />STATE CERT OR REGIST # EC. - 000/..2t,.f <br />CITY PROCESSING # ~3 7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGN.~TURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******************************************k**************k******* <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STAT!': CF.HT OR REGIST II <br />CITY PROCESSING # <br /> <br />MECIJANICAL <br /> <br />**~****************************************************-k********* <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />