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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />J -J.. - a.3 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Cs.:.:.;.QQE.\ D \ e.~\()i:)~,-c, ~<::;\ <br />JOB ADDRESS I~:J.. 4-u GOu.- bL\l:L:> <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL TD # O~-2.{..;,-:2-I"-OC)IO .-CflloOO - O()~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: UlNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK --rgNNO~ ~\)Lil."\ n,~ <br /> <br />BUILDING SIZE <br /> <br />~"':2_I' I <br />SQUARE FOOTAGE .;;;;)~" <br /> <br />HEIGHT -' (J <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />o BUILDING <br /> <br />$ 55(~(J <br />L..oO <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION /' ~ J <br /> <br /> <br />PERMITS REQUESTED \ // (d <br />\ <br />VALUATION OF TOTAL CONSTRUCT~GN <br /> <br />ENERGY FORMS. \ <br />'''-... . <br /> <br />tJ 0 I!--J <br />,I <br />/ <br />/ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~LORIDA POWER <br /> <br />o W.R.E.C. <br /> <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA <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 />J( FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br /> <br />BUILDER <br />SIGNATU~,>o ~ U y~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />a.L_ <br /> <br />~T~ <br /># Me 0;;;.;;1 ( .3 7' <br />~~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN r--:::~-,:.. p;,. <br /><--~ ) "';::;7'" <br />SIGNATURE '-'.... ,~. "" <br /> <br />COMPANY Z .....-l~ 'u'<;' F LE:Ci "' <br />STATE CERT OR REGIST # q~ <br />CITY PROCESSING # ODO At (<? <i- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />&!~ ~ / <br />~' i/~' I~//l <br /> <br />COMPANY Cjwi C) (1~') <br />STATE CERT OR REGIST,# <br />CITY PROCESSING # -l~ <br /> <br />P(u~bJ;"'~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * ** * * * ** * * * * * * * * * ** * * * * * ** ~ *l** * * C * ** * ****(* <br />COMPANY \ S &..I.Y d- A- c.. <br /> <br />~ ~TATE CERT OR REGIST H <br />_____ CITY-PROCESSING # <br /> <br /> <br />, ** ************************************************************* <br /> <br />MECHAN:ICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.............**..**.....**....................................... <br />