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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 U()U 9- Ca VV{ () mJ I. <br />I , <br />JOB ADDRESS . -:5fYY J( -q-bt, -S~ /f- <br /> <br />PHONE :g J3-7/5 Lid) I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br /> <br />J/-;:)(" -rl J -(1J/() --;;?JJ ()O-O/5tS <br />' I <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />(ORTATN FRO~ PROPF,RTY TAX NOTTCF,l <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION ~REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS D MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />~{' ~QUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANs & (1) <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />SET ENERGY FORMS. <br /> <br />--~ <br />../'".......-- <br />/ <br /> <br /> <br /> <br />/)V/~ . <br />.:-----7 <br /> <br />o BUILDING <br /> <br />$ '39 {)O <br />, <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCT <br /> <br />o PLUMBING <br /> <br />o W.R.E.C.. <br /> <br />o MECHANI CAt <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D 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 />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGI ST # __ <br />CITY PROCESSING # _ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />OTHER ~ COMPANY 11!:Jo:rl11'1 lnYl;'ftu (IiJfV], Jnc. <br />e~~ - STATE CERT OR REGIST # {' ('('. - /,'lOl.~")C)'5: <br />SIGNATURE .. . . .,-,~ . - CITY PROCESSING # 07-'5 <br /> <br /> <br />***************************************************************** <br /> <br />***************************************************************** <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~ <br />