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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />t;..ffled/ 7'- 7-& 3 <br /> <br />DATE RECEIVED ~ - / - (J -'5 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Girl fllteJJ t<;y, ~~ (L-C. <br />JOB ADDRESS 3 '/1'17 r/Lflrt'ckhvfj <br />LEGAL DESCRIPTION: LOT(S) 1,7 BLOCK <br />PARCEL ID # 01.-2.(,,-2..1- ()~c](ir OUOOU. ub/o <br /> <br />PHONE <br /> <br />SUBDIVISION 5:/.uti.1c1 Ltl/~ A are <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />'rp BUILDING <br />,KI ELECTRICAL <br />If6 PLUMBING <br />~ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />I~O <br /> <br />AMP SERVICE <br /> <br />tv FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />~ FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 'Ji NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />**************************************************************** <br /> <br />---~ (': <br />COMPANY f/ if: s -z- f ~ s S <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />********************************************** <br /> <br />t4 u/kl/ ,Jal/l1eJ t/r/"1hlv;y <br />~ COMPANY I I .. <br />I ~ STATE CERT OR REGIST # rr F IJ() ~t Lf.63 <br />SIGNATURE {/l.r. ~ _~ CITY PROCESSING # ).v/?; / {; '" <br /> <br />-".=. :.... *~.............................~t.*.t..~.~.~....~... <br />MECHANICAL /1\ COMPANY ~nfl sAIL (""c;~"',v <br />I STATE CERT OR REGIST # C4Co 5;5?.? <br />SIGNATURE L-' CITY PROCESSING # <br /> <br />PLUMBER <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />