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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 NAME y/ .f ~nfl ~ Kid 11' .('./f <br />JOB ADDRESS 3930.. 3 ,7)fh fbenCL-L <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # 1;}-;)(o-JJ-cn3{J - tIJ/{J(]- DJ /.tJ 0 (ORTATN <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />FROM PROPRRTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALT ERAT I ON ~EPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />DESCRIPTION <br /> <br />CJ RESTAURANT <br />OF WORK-g~ -/2. ('XJr:: <br /> <br />& HEALTH DEPARTMENT APPROVAL <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) 4?D. D () VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.. <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANI CAL <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 0 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 />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />OTllER J:s~ COMPANY !1~(1 '"l (-,'rOM..l (' 1) ()fJ / ) nc , <br />;1 p_ STATE CERT R REGIST # (' ('r. - J,~~,-5"l"")tY) <br />SIGNATURE - ,.-<\" ~ CITY PROCESSING # 075 <br />***************************************************************** <br /> <br />***************************************************************** <br />