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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />6JW~ ~ ~j~~~( <br />~-, 1 ' ,;~ (f., tJ ~ <br />DATE RECEIVED I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME /1ary Rcdr'5tA..y?Z- <br />JOB ADDRESS fR'I3t./ Laurdwood (ur. <br />, <br /> <br />PHONE <br /> <br />Ze.?hyrJ",'1ls/ FI. 335tf / <br />SUBDIVISION S,.lv~r OCLIe'S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 03-rl.lrrd./-OIO,O-OOOOO-O/OO <br /> <br />(OBTAIN FROM PROPERTY TAX No'rrCEl <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE: ~GL FAMII.Y <br />o COMMERCIAL <br /> <br />14 ADDITION <br />o MOVE <br /> <br />o ALTERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />DMUJ}l'!-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'fS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK tfl[,(..WL;nlitW\,., C5ere..~ l2ooWl.. <br />BUILDING SIZE 10 K 31 SQUARE FOOTAGE a, 0 <br /> <br />HEIGHT <br /> <br />7 ~3'/ u.,..( 81 <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 />If{ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />L/3~3. 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 CONSTRuc'rrON: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />ii OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY R...T. \~ AI ~(~"l ~ <br />~ ,/.2. ;J STATE CERT OR REGIST # <br />I ~~ ^" ~- CITY PROCESSING # 334 <br /> <br />** ************************************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************,~*************************************** <br />