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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 ,Jl)t){}dO,-{J/CLr-};flPC J <br />JOB ADDRESS 5'J~€, (j'frL '-- ~+ <br /> <br />PHONE <br /> <br />6j 3-60J~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # /fit IIJ-a} - DD/D-lio CXX)~{)/(j () <br /> <br />SUBDIVISION <br /> <br />CORTAIN FROM PROPF.RTY TAX NOTICE} <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION ~EPAIR o INSTALL <br /> DSIGN o MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL D INDUSTRIAL D SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK~ <br /> <br />ftYTJD <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 />D BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />,/f, J~7yO .0 L:kr.UATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVI CE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C., <br /> <br />D PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE MEAD 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 />PLUM$R <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 />OTHER ~~ <br /> <br />SIGNPlrURE . . jJ <br /> <br />***************************************************************** <br /> <br />~1 /.V1'\. l <br /> <br />COMPANY ~~(t V'} lJlY1Jfrr..1 (Ii)M, )nc . <br />STATE CERT OR REGIST # (' f1r, - J,~~,-5-l'")tY) <br />CITY PROCESSING # dt 7...1 <br /> <br />***************************************************************** <br />