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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C>tL\ t)~ 2e ph\.\Rh\ \ \~ \='Itte be-pi <br />JOB ADDRESS foCfD1 DQ\ R \1 R.d. <br />\ <br /> <br />PHONE ~ ~D "' D04} <br /> <br />LEGAL DESCRIPTION: LOT(SI <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br /> <br />o ADDITION ~TERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: ONEW CONS'l'RUCTION <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />Dof'\vllt1- CArp I~OI\(" ~~ ~fLom <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />lP to ~Q-\U{l.a I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />~ 0 ROOFING 0 SPECIALTY <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUI:LDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRI:CI:AN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COI1PANy..------'---. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPA1"lY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER ~ COMPANY <br />//1...-v,i. "-:ru / ...--- STATE CERT OR REGIST # :+rf?<t' <br />SIGNATURE)/7cP( (/.t ~~ CITY PROCESSING ~~ t) <br /> <br />*********************************************~*****~~***** <br /> <br />" <br /> <br />. <br />