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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 />~-.u -tJ:L. <br /> <br />OWNER'S NAME V;:1Iz/r} 111 CP_t!-ul,?5 <br /> <br />JOB ADDRESS ;;;__ re'ar/ ~ <br /> <br />PHONE <br /> <br />?I(3 --7~b-?17? <br /> <br />SUBDIVISION #t?~ -,ide )II # <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~DITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <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 POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />ff~C>t?J ;/7 de! !;;, * <br /> <br />I D.. X /5+ 10 xl z.. SQUARE FOOTAGE <br /> <br />!/LJub/e ~61';- <br /> <br />4"j:)~rl <br />( ~, <br />HEI GHT -I- <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />PERMITS REQUESTED ~/~ <br />$ ~SOO~VALUATION OF TOTAL CONSTRUCTION ~ <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C....... _1~:J-3 J <br />! (/1'$' 1(~ . //// <br />VALUATION OF MECHANCIAL INS~ALLATION .../ <br /> <br /> <br />"-.- --_._---_._--_.-._~ <br /> <br />~~DING <br />~RICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 />ELECTRICIAN <br />SIGNATURE /"~. <br /> <br /> <br />******************************************************* <br /> <br />& / J1IIuT <br /> <br />COMPANY J!1tJ r fCJ Yl See.- <br />STATE CERT OR REGIST # . <br />CITY PROCESSING # -z. ~ ~ <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 />SIGNATURE <br /> <br />COMPANY ~/J?7 (!6n ere I--~ <br />STATE CER OR REGIST # , <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />!!.or; C-t&. <br /> <br />***************************************************************** <br />