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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'1 <br />JOB ADDRESS, "31 '3 '-I~ <br /> <br />L€ V\J ( S:. <br />~ Ave <br /> <br />PHONE ~T 3 I~ -;)../ 17 '-f <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # l~ ;;l. ~~ I OOd.-B aDS Do 000 D <br /> <br />SUBDIVISION S; y ~ ~ :~i1: M t1-P <br /> <br />(OBTAIN FRO~ P:OP T TCEl <br /> <br />BLOCK <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[JADDITION <br /> <br />LdALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />L(~MMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />~HER <br />S''''b:-.U, "7 <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF' WORK r e l"" GE)~ <br />, , <br />BUILDING SIZE 2--<;( X 2- J <br /> <br />.g I n.4' ~ <br /> <br />fly <br /> <br />Nt e IIVj h MNU <br />5)(y <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE <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 />$ ~;).O tJ.?!- <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 />D W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL $ <br />D GAS ~ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />D FRAME <br /> <br />D S'l'EEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER ~ .~.~. "'.. L__;;.e;::f <br /><,:/ ,~ ./~-.-J <br />SIGNATURE, /p ..~ <br /> <br />COMPANY -rrop,cc...-I 00, fl'1 III L <br />STATE CERT OR REGIST # C-LL 0 ''I ~s:;)... <br />CITY PROCESSING # <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 />~ <br />. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />