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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 />69h/ (/;( del /((y, ~ s , ~~ . <br />JOB ADDRESS) 13 '-If} Pttkli~ jVI.,t/1I-v-e _ r <br />kr <br />oi- glo - J-I - 0700 - ()WOO - 06fff) <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />7tf3ff -h;?S? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION 9ft/..{ f!1t( Vlhu fi,ftae <br />(OBTAIN FROM PROP~~TY ~~ :~TIC;1 <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK !Jt:.;,/ sj'le'~( 1{'1 ~_ <br />BUILDING SIZE ~..,. 67 SQUARE FOOTAGE / e":Jo <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 />~UILDING <br />~LECTRICAL <br />~9'UMBING <br />r:::t'MECHANI CAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />~I)() <br />- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ FLORIDA POWER 0 <br /> <br />W.R.E.C. <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 />Ip 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 />~NO <br /> <br /> <br />ELECTRICI <br /> <br /> <br />COMPANY <br />STATE CERT OR REGI ST #~ J/ _-Ih <br />CITY PROCESSING ~ IV - ':f ~ <br />tJ r~, . <br />*********************************** *~;*r*** <br /> <br />QI;;I fJ1<<dt~ ~{,,~c. <br /> <br />BUILDER ~ <br /> <br /> <br />SIGNATURE /~?:*H*HH . <br /> <br />COMPANY j:",'J< S'~ <br />, , <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />SIGNATURE <br /> <br />!. j...,\,/\.ll'O <br />HH*HHH*H*H*H*HH*HHHHHH*H*fH,* U .-.. , <br />COMPANY tl,i;t, W~ PI (/.<1 ~ j 1.9 <br />STATE CERT OR RE ST # ~ r: -00"" 'Ii ~ <br />CITY PROCESSING # /6 h <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />.lire <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 />