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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /:2 - ,3 () - f) t,;t <br />PLANS REVXEW FEE <br /> <br />OWNER'S NAME <br /> <br />A );'t ;'0. <br />7tJ../3 d- <br /> <br />Fe. jrY1a I7d-e z: -Go r(1ja Ill. D, <br />7;)../7 -- (J~5~ d1. <br /> <br />PHONE <br /> <br /><6' /3,- 'l'7Q rO r;so <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />o ADDl'l'ION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:,DjGL FAMILY DWELLING <br />AOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUS'l'RIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o I~~S~~T & HEALTH DEPARTMEN'r APPROVAL <br />--'.I.. -f) -. b <br />. ~~-~ <br />--~~ '" 00 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />.. <br />3j:soo <br /> <br />HEIGHT <br /> <br />Ji/+{ . <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED E'OR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />. ~LECTRICAL <br />crPLUMBING <br /> <br />$ <br /> <br />Qtx!) <br />41 ... <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~LORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />ELECTRIC <br /> <br /> <br />i;;;:; (H-ij';-j :'!; ;'! .; n~! n (J:,: <br />!i_ .;, ; <br />~ ~ !: :"',' .. ij , : <br /> <br />"iiiiiiili!:!!il'::iiiI1illlll'!i:';:tiili!i'iii::i, <br /> <br />BUILDER <br /> <br />COMPANy_F\'\~+ ( to. s s C' (eC3,'r'~L . <br />STATE CERT OR REGIST ## (''"Y''j(::) a s...-, 0 <br />CITY PROCESSING ff l L\ ~ <br /> <br />PLUMBER <br /> <br />......................:::::::..~~~~~..~:;.(\\~:.. ~lA~)~~ <br /> <br />~. ~ STATE CERT OR REGIST # Da~1-~~ <br />-~~::-> ~ . U):]lUt~ CITY PROCESSING # ,qd.-O <br /> <br />SIGNATURE <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 ff <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />