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<br />APPLICATION FOR PEBMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />f) J71l l./ /'-'.- 77J j.o./ <br /> <br />DATE RECEIVED ..j ---- /3 ~o~ <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />v.O L lJ <br />at yet <br /> <br /> <br />.. <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT (S) i 1 <br /> <br />BLOCK <br /> <br />SUBDIVISION S/t...Vv:tl Ci/n2) 1I/((l1v;:-' p)o/'jJ[; 0,..( <br /> <br />PARCEL ID # 0 1- ).. G - 2 I - 0 ') eft). () () c> 0 () - /?) If if <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERATI ON o REPAIR o INS'rALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~L FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAI~ o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />JJ €....J&L / A/ t- I... ~ <br />. <br /> <br />~ fflV7 1'- ~ <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 /> <br />~BUILDING <br />~LECTRICAL <br />BPLUMBING <br />B'MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />-2.6-0 <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <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 />~FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY v- 0<- /? /11 E. ;?J /7c../L / cJ~ <br />STATE CERT OR REGIST # <br />cn~Y PROCESSING # /0 '1 <br /> <br />17 .:> /W 6J <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />* **************************************************************** <br /> <br /> <br />COMPANY ti~bf C(4~5 81:'((:,:,- <br />STATE CERT OR REGIST # C::C---CO02.:5->o <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************~***************Y:** <br /> <br /> <br />COMPANY~ ,,) If yneJ 6 f/,IJlI b; 'I fJ <br />STATE CERT OR REGIS'r, # ~~O()6~'I6J <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />************~***~******** . ***,*******, <br />L1 C~PAAY , <br />'/ ST1\.TE CERT OR REGIS'l' <br />c4uo ~ CITY PROCESSING # b II <br /> <br />*****'*********************************************************** <br /> <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />