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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />, BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAMEun/Df'f,:) 6,)rJJ~ <br />JOB ADDRESS -=' >1767 I;)f ~CL{ <br /> <br />PHONE X/~ -7g;?-3U-==? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # II-;},{P-d / -t:DJ{)~ d0:5D6-0070 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION D ADDITION DALTERATION ft(REPAIR D INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~-t. - --r< o~ <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ '3 J DdO - DO VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE D FLORIDA POWER 0 W.R.E.C., <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o 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 />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD 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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />***********,******************************************************* <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER ~~ <br /> <br />SIGNATURE _ ~ <br /> <br />***************************************************************** <br /> <br />--- <br /> <br />COMPANY .-g~(t II") lnn5frr..l fli)fY), )nc . <br />STATE CERT R REGIST # r ('r, - /,1oV5t"J{'Y5 <br />CITY PROCESSING # 075 <br /> <br />***************************************************************** <br />