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<br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />L-3tJ-IJ3 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />J(W\ C_OK <br />3lf 3<=1 TO(/Je..l'Vlftltne V/Z.. <br /> <br />PHONE 5GLf- 'l3a -"77Cfc <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I D # 2'-1 z. (,." 2. ( /) OSD D 66CJ b <br />WORK PROPSED: ~EW CONSTRUCTION DADDITION <br /> <br />2:5"/0 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />D DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />)( OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ LfL L€{A tLo-o VG- / Lj /-lEV <br />I <br />X 2 C SQUARE FOOTAGE Z Z 0 <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE ;'~ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />XBUILDING <br />D ELECTRICAL <br /> <br />D PLUMBING <br />D MECHANI CAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />9~/o t' <br /> <br />HEIGHT <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 /> <br />$ <br /> <br />~;'7 ttO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />Jzf FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />t!~ .L/ <br /> <br />COMPANY /l- --k> -z.. Ah..vl/Jr/A(( 4~~, Me::" <br />STATE CERT OR REGIST # ~X (J/./~r;:, "7 0 <br />CITY PROCESSING # cJ,~.) 0 <br /> <br />*************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />