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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED j- ;:z - (j ,- <br />PLANS REVJ:EW FEE <br /> <br />OWNER'S NAME ("cesu;~~ ~,,'C'C,,\~ \~~<.....D~\.Q. ~"\"" <br />JOB ADDRESS '.,d..4!O C~c. ~~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # c::-.....-~ '2-"" ~-z...\ -- 0(:; I '\J - C)"i ~~ (OBTAIN FROM PROPERTY TAX NOTICE) <br />c::,(:) ~ -:::. <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMI L Y <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 />DESC~tttION OF WORK .fu \ l..U ~~ F:)~,- ~~~ <br />BUILDING SIZE SQUARE FOOTAGE \~aa ~ <br /> <br />HEIGHT <br /> <br />\0 I <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 <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />1:l,O~ () <br />~~ <br /> <br />CONSTRUCTIO~:,// wll . j ~rE- <br />I . I(~ , <br />PERMITS REQUESTED L~--::.---------_._//// <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER 0 <br /> <br />W.R.E.C. <br /> <br />~~/; <br />q <br />/ <br /> <br />r1~~ <br /> <br />o PLUMBING <br />o MECHANI CAL <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 />,g 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 />~o~~e~~&:~E~;~Q1,. <br /> <br /> <br />{J .L- 5/~ <br /> <br />BUILDER COMPANY <br />~\:1 \ J STATE CERT OR REGIST! .r <br />SIGNATURr ~w )(l~ CITY PROCESSING # ~ 0 .::> <br /> <br />****************************************************************** <br /> <br />ELBCTlUCrAH ~ ~ <br />SIGNATURE ~ ~- _ OJ <br /> <br />COMPANY z. -\:.-4- l L.."'- E" L';;'t.,. - <br />STATE CERT OR REGIST # q~ <br />CITY PROCESSING # () QO -:L ( ('g ~. <br /> <br />PLUMBER <br /> <br /> <br />9ft <br /> <br />SIGNATURE <br /> <br />* * * * ** * * * * *.* * * * * * * * ** * * * * * * * * * * * * * * * * * * * * *M * * * * * * * *** * * * *** **>t* ~ <br />MECHANICAL L COMPANY ~hR') (;.....0- d- ~ <br /> <br />. STATE CERT OR REGIST # <br />SIGNATURE.7 ~ r? _ _CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER ;/ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />...................................... ..:.... .1................. <br />