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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DA.TE RECEIVED <br />PLANS REVIEW FEE <br /> <br />. <br />/I-.u.-c;;. <br /> <br />OWNER'S NAME /l61(~4; S -!--CPJ;~JlJI~ P1 <br />JOB ADDRESS &37 -to"'/( 51-. 2~J"I..'-rh'/1s Fle/n'el.. <br /> <br />33S'/t:J - 5-~ 1-;,- <br /> <br />PHONE ?/.J - 7/5-. ;?~?J? <br />~/3- ?~2--SS-.2I..L1t"1 33? tu<'rk <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />/ /";Zt -~ /- CiJ/O-.2. J"Ct) - 00(,5" <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />O1':i.EPAIR <br /> <br />Gh:NSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMI I. Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~~cc. <br /> <br />BUILDING SIZE <br /> <br /> <br />'1./" ~r7-e / <br /> <br /> <br />ran /1""w .?'I,,20V,LI';! ';;'r <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COHI"'ERCIAL: <br /> <br />I"\.TTACH (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 REQUIRELJ FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/.:;-d <br /> <br />AMP SERVICE <br /> <br />G( FLORIDA POWER <br /> <br />o <br /> <br />W.R.E,C. <br /> <br />tf'1, 772-</? <br /> <br />o PLUJ.1BING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLn..TIGN <br /> <br />o GAS <br /> <br />[]ROOFING <br /> <br />D SPECIAL'ry <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 />FIN! SHED FLOOR ELEVATIONS <br /> <br />[S PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />C()~TM.C'1'QR,:'.SECTION <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PRqCESSING # <br /> <br />****************************************************************-** <br /> <br />ELECTRICIAN <br />SIGNATURE ~-y2.j,J~ <br /> <br />COMPANY ~ ~ <br />STATE CERT OR REGIST # E(!.-ct?O/;:z..!.. f <br />CITY PROCESSING # ~37 <br /> <br />********************-********************************************** <br /> <br />..... <br /> <br />PLUMBER <br /> <br />SIGN.'l\TURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********.******************************************************* <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CEHT OR REGI ST 11 <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************~********************************************* <br />