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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />, BUILDING DEPARTMENT <br /> <br />D~~ RECEIVED 10 h ph 3 <br />PLANS REVIEW FEEl <br /> <br />- /1 <br />OWNER'S NAME..J t0L l.::1 (~ -^-' <br />JOB ADDRESS 5 ( p '3 7 (j IfJrC:'D5f{ e.R t <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # J d-J~-,~ J -(YJ(oD-CliX;2) -C;20 <br /> <br />PHONE ?13-7XJ- -L/5{)Q <br /> <br />SUBDIVISION <br /> <br />(OBTATN FROM PROPERTY TAX NOTTCEI <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION ~EPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />hL - (()()+ <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 />$ ,5; L/LJ Q. cJ 0 VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C., <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />c'" '.--- '.---...... <br />/. " <br /> <br />INSTALLAT,I~' ,I//J / ,:' <br />'i~/ <br />1 <br /> <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 AREAD 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 />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 />SIGNATURE <br /> <br />***********~****************************************************** <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />0,"""" ts~ COMPANY ~~(1 V] lon:Jfrr.l ('i)fYl, lac- . <br />~ STATE CERT R REGIST # r ('('. - 1,3<il:'5i)'I'J') <br />SIGNATURE / -, - CITY PROCESSING # . ~ 7,1 <br /> <br />,..... :.................. ...... ... ....... .................. ....... <br /> <br />***************************************************************** <br />