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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 />OWNER'S NAME To d d <br />JOB ADDRESS ,^"S 13 ~ <br /> <br />1-1. <br />1.1 <br /> <br />l/IIJJ de bee!) <br />57 ST <br /> <br />PHONE <br /> <br />~ 13- '7fJ-GOf9 <br /> <br />LEGAL D~SCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /J.-J.G-J./-OOOO- (J'I'IOO-()O{;O <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[] ALTERATI ON <br /> <br />g REPAIR <br /> <br />[] INSTALL <br /> <br />[]SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />[]MULTI - FAMI L Y <br />D INDUSTRIAL <br /> <br />[]# OF UNITS <br />D SWIMMING POOL <br /> <br />[] MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK E"i (AI' I chA-1'\ge out ,~5i -ffl/o--J A () C.tJlUrJ~tJC;Pp.. <br />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 />... <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 />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />~ MECHANICAL <br /> <br />$ I !)..(J(). 00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />D SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />[] NO <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />** * * * * * *** *.* * * ** * * * ** * * * ***** * * * * *** ** * * ** *** ****%***:s;;;:.***~** <br />~ COMPANY ~ '" w-c.-iU <br />STATE CERT OR REGIST # ~..(&;, VY"it. J. <br />CITY PROCESSING # (2 r:;1 <br />~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />.. <br />