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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVl:EW FBB <br /> <br />OWNER'S NAME \(.. \J e CJ'^-...-+- ~ \7,-\ <br />, ' <br /> <br />JOB ADDRESS 38S' (I 'Ie ;:J v-<... <br />I.t +- 1 ~ <br />PARCEL ID # I J -;;J&, -;;2/ - 0010 <br /> <br />--"7 <br />L.. e <br /> <br />P h "11<- h. \, '\ I f' <br />1/9 <br /> <br />PHONE 8/ ~ - 780 -7~-&8 <br /> <br />3 .5 SLt J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />J jC>) 00 - 0 I JC)(OBTAIN FROM <br />- - _______ __ PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />lLC pi fJc..u~+ <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br />Y ~ ~ C' ~ ~( 0 '^-/t- .3.. ~ -\u- .___ <br />SQUARE FOOTAGE / 7 0 () <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />~.Q.L f1,Vm,) 'S; p W LJ J~r(,) <br />I ~LJ pI 1 ,/ ,.cy. <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION;OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER · D W.R.E.C. <br /> <br />o PLUMBING <br /> <br />18 MECHANICAL <br /> <br />Od <br />$ ~I ;),88 ~ <br /> <br />VALUATION OF MEC&ANCIAL 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 AREAD YES <br /> <br />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 />** * * * * * * * * *,* * * * * * * * ** * ** * * * * * ** * * *** ** ** *-:-*-1< * * * * * *":* *!:*****,* * *:..** * <br />MECHANICAL COMPANY: ::-::> e Ie, U I c...e... {' /\f P f u~, - , 1- <br /> <br />~Lc7< ~~ STATE CERT OR REGIST II ('"eu~~ <br />SIGNATUR . ~IT~ PROCESSING # <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />