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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />L,-/-I)r <br />DATE RECEIVED 2 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME .:J(r") An f) U ber. <br />~OB ADDRESS 1I-~~-dJ-('f))f) ~OIO(,)-6JlLJ (') <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />)-PARCEL ID # 51 ~() /2'tn ~ <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />(ORTATN FROM PROPF.RTY TAX NOTICF.) <br /> <br />DALTERATION <br /> <br />~EPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: tsSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~.e~ <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 />$ <br /> <br />:3gDO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C.. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS ~ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 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 />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 />OTHER ~~ <br /> <br />SIGNATURE . +_ <br /> <br />***************************************************************** <br /> <br />COMPANY ..-g~(t VJ lnn:51-r(J (li)fV)/ )nc . <br />STATE CERT R REGIST # (l (II.' 1',~OV5-l")t.)'5 <br />CITY PROCESSING # 0 7....1 <br /> <br />***************************************************************** <br />