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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTNENT <br /> <br />DATE RECEIVED 1- / /J- lJ ~ <br />PLANS REVIEW FEE ;f//l- <br /> <br />OWNER'S NAME WA L - M Nl\ <br />JOB ADDRESS 7 ~ ~\ C~ AL L <br /> <br />~ C hOl'l-A L b. '0;;- ) <br />B.LVD <br /> <br />PHONE ~ I~ ' 2..€:7 - S-S S" 7' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />PROPOSED <br /> <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />X!: INSTALL <br /> <br />WORK PROPSED: <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~. RESTAURANT &, HEALTH DEPARTMENT APPROVAL <br /> <br />IN S.~LL (I') 20 ~ Q..~" L^J~L-~ Sl C;f\J <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE HEIGHT <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 ENE:RG~-"FORMS".,. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. ~ <br />REQUIRED FOR ALL NEW CONSTRUCTION. ",//~.,O V 49 <br />/ (yv- , rt/).. --I / I <br />/ , ? /iJ ~) <br />PERMITS REQUESTED I ~O(j ~ tJ.ur:.. <br />cJ C/ i c-r fI, :::::::::-- <br />VALUATION OF TOTAL CONSTR~~TION ~. <br /> <br />AMP SERVICE 0 FLORIDA POWER' 0 W. R. <br /> <br /> <br />)?(BUILDING <br />o ELECTRICAL <br /> <br />$ ,;; 5DO <br /> <br />_/ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />"---- "-"._._~~~~-- <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 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 <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY C,())( E:;L-EL.\'-6( 1 e- <br />STATE CERT OR REGIST # EC-OOO''2-/0 ~ <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY Cbf.. <br />STATE CERT OR <br />CITY PROCESS~ ~ ~ <br /> <br />********************************************** * *~** *~* ~ <br /> <br />A~\y<IC--- <br />REGIST # 6CCXZ)'2...J 010 <br /> <br />***************************************************************** <br /> <br />ELECTRICIAN <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 />