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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />. <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER' S NAME 7'\ '1' ! fll I..... S 1L ~ r? ')(1 I <br />U 7U- (11=, J 4- <br />JOB ADDRESS--3.945{j q -n-. Ilv~ <br /> <br />LEGAL DESCRIPTION: LOT(S) C(Lj BLOCK <br /> <br />PARCEL 10 # I;)--)/~-~J -()J cD-aoOrb -DJ.C;6' <br /> <br />PHONE 7'&5-o?/CJ <br /> <br />SUBDIVISION ~ ~1e3.L <br />(ORTATN FROM PROP;R~Y TAX NOTTCR) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION DADDITION OALTERATION j'PREPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o CO.MMERCIAL o INDUSTRIAL o SWI.MMING POOL o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~p - '2(Y\C <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br />D BUILDING $ .3 J 2?r5. () 0 VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C.. <br /> <br />D PLUMBING <br />D MECHANICAL <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />::~~ <br /> <br />***************************************************************** <br /> <br />COMPANY ~~(t VJ (' nn'51-1(1 (l:f)fV), )nc . <br />STATE CERT OR REGIST # (l (Ir. - /..~~,-5"L-"ft:r5 <br />CITY PROCESSING # 0 '11 <br /> <br />***************************************************************** <br />