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<br />APPLICATION FOR PEBMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME e, 0 t3 cf- IJ,;)I( ~ 1H 7 <br />JOB ADDRES~ ~1333 <br /> <br />(] 1'1-;<:. rC ~ <br />?,'ck-e,1ts -mi il <br /> <br />PHONE ;f/3 - 7JJ9 - C2S-? <br />/111{L. <br /> <br />LEGAL DESCRIPTION: LOT (S) 7~ BLOCK SUBDIVISIONjILVC/Z CVJk$ V/..(/1rrl- 17/!4:r€ I <br />PARCEL ID # 03 ~ 2(P -Z( -o;2&o-(}tJooo-~OV SO (OBTAIN FROM PROPERTY ~AX NOTt~El <br />WORK PROPSED: 0Ni:w CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INS'rALL <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />,5FD <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 />~ILDING <br />~ECTRICAL <br />~UMBING <br />cr;;ECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO <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 />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 /> <br />COMPANY fr- O'--,() A-1 t: LJ /fL., tl ~ iY J /'1 €: 5 <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / c ., <br />, <br /> <br />SIGNATURE <br /> <br />*********************************************** <br /> <br /> <br />COMPANY. J7,~t:J I {"~. /j~ $c t' <br />STATE CERT OR REGIST # 61" ofJ.::>2.,C:;7D <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~*****************************Jjt************~~** <br /> <br />~ /b 'I j t1'1/Jf5 r1 V'lt l~~ <br />COMPANY I I <br />STATE CERT OR REGIST # f f:-- (ZJltt. ~1 <br />CITY PROCESSING # I&?6 <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />***************************~*t****t*******~******* <br />COMPANY ~l'-~ /:J/~~rJ..;vy <br />STATE CERT OR REGIST # CltCo~-':>-7f <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />****************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />