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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Ca.( / -r>7o (Q IJ I ('u5-k--e <br />JOB ADDRESS1'9I'-!'7 (p"{)7 Az;-(, '- <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />IJ-Jt.o-dl-()o;) 1+ -0C6d}C030 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION )8-REPAI R D INSTALL <br /> o SIGN o MOVE D DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS o MOBILE HOME <br /> D COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />---g -e. - rCQ3 <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />$d /70 <br />I ' <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C.. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL 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 />D FRAME <br /> <br />D STEEL <br /> <br />D 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 />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 />MECHANICAL <br /> <br />***********~****************************************************** <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTIIER ?1~ COMPANy -g~(1'1 lm:Jfn.l (li)fY), )nc. <br />g-~- STATE CERT R REGIST # (' [1(', ~ /,1~,-5'l")t.:r) <br />SIGNATURE ~ . '-7~ CITY PROCESSING # 075 <br /> <br /> <br />***************************************************************** <br /> <br />***************************************************************** <br />