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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-# 131!' <br /> <br />DA.TE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />fY e'J/~a, /1/1;1 T1 J-Fr <br /> <br />6~/ ;2 '1 ~~4,.,<~ee/- 2e.I'A-yrh/ils <br /> <br />PHONE <br /> <br />? 79. '1,2 J 3 <br /> <br />JOB l\DDRESS <br /> <br />1=-;' .3 3 5-$11 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 1C;-...2/,.- 2/, O~ <11)- IC?t:J<j~tJ- O~..2tJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR ffi"INSTALL <br /> D SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o REST1,URANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~1'/TcI~ -/c; ~tJol'/'"""f Cru-/./?'OI'Seo/l"Ce <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COI-111ERC IAL : <br /> <br />I"\TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />-s~ <br />$ /Yk5. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />01 c;tzJ <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUHBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION O~ MECHANCIAL INSTALL~TIGN <br /> <br />o GAS <br /> <br />[]ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FlUI SHED FLOOR ELEVATIONS <br /> <br />[::; PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />CQN'l.'~C'l.'QR',SEC'l'ION <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PRqCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~~~. <br /> <br />SIGNATURE <br /> <br />COMPANY ~./T..& e,,'~;.~. <br />STATE CERT OR REGIST # <br />CITY PROCESSING #,~:?;t <br /> <br />********************'k********************************************* <br /> <br />c0:-rzrL <br /> <br />., <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR RE <br />CITY PROCESSIN <br /> <br /> <br />SIGNATURE <br /> <br />************************************** <br /> <br />MECllANICAL <br /> <br />COMPANY <br />STATE CErn OR REGJ ST II <br />CITY PROCESSING 1/ <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />CCMP ANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />