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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTNENT <br /> <br />DATE RECEIVED / - .J.. / -0 3 <br />PLANS REVIEW FEE <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />PHONE !II J - 7 fJ J - / :;0 ~ <br />Z~/lhl' /"//7 F[d <br />BLOCK SUBDIVISION <br /> <br />OWNER'S NAME f;J IN n 'if," /) <br />JOB ADDRESS '7 :;2 .J). t 5/ <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />TERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />o SIGN <br />USE: ~L FAMILY <br />o COMMERCIAL <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 />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & <br />(( (fl!('{ (e <br />( <br /> <br />HEALTH DEPARTMENT APPROVAL <br />11,/ ('0,.., -/,}, 0,/ ;"j <br /> <br />SQUARE FOOTAGE <br /> <br /><vc;f(l~ <br />! " <br />HEIGHT <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />ZL BING ::J (7 <br />'7 '1 I)~' <br />ECHANICAL $ / .r . VALUATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: ~LOCK 0 FRAME <br /> <br />OF MECHANCIAL INSTALLATION <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* **********.************ * *** *** ******** ** ***'k * ****** ** *1' * *'7 * * ** 1</;* <br />MECHANICAL COMPANY d /) V n I' ' ,-" / <br />/' ~ D 't:J, STATE CERT OR REGIST # C {/J <br />SIGNATURE 'li~ . 1J .~ CITY PROCESSING # :;L~ ( <br /> <br />. ****~******~*************************************************** <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />