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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />I'f.J- ~lt1~ churol J zir!"l6NE <br />3"8~tJ?) st* ALlot 2~ltf-Ajt)5 f:/ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # I ( -Z-l.R-Z-{ -6D1()~ !(;5C() L?J~ 1- z-cf <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />;::; "5.:)-~ <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />o ADDITION <br /> <br />r05TATN FROM PROPF.RTY TAX NOTICEl <br />DALTERATION ~EPAIR 0 INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLI SH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING PO~L <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />~ <br /> <br />BUILDING SIZE. <br /> <br />D RESTAU~T & HEALTH J;PARjMENT APPROVAL <br /> <br />_f1~fr"[;.f- n;"j ';p(J~. <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <br /> <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 />D BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />~U2 ~~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />o MECHANICAL $ <br />D GAS ~ROOFING D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D 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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER ROOFING AI ::-~ COMPANY RYMAN CONSTRUCTION INC. <br />/' ~ - ~/. .,. ,STATE CERT OR REGIST # RC0061648 <br />SIGNATURE X ~ CITY PROCESSING # 275 <br /> <br />- ********** *************************************************** <br />