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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 />----- <br />OWNER'S NAME j~ f 0J <br />JOB ADDRESS 54;; ~ <br /> <br />/f)a /fh-fJ_uJ:) <br />d()--rn JfreLJ- <br /> <br />PHONE <is/'] - 7?l3 -8758 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # /;).-().l.,-dJ-fYJJ{J -m;).fYJ--I')t.o60 IORTATN FROM PROPERTY TAX NOTICF.l <br />. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION DADDITION DALTERATION ~REPAIR D INSTALL <br /> Os I GN D MOVE D DEMOLISH <br />PROPOSED USE: ~SGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL o SWIMMING POOL D OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK ~f... h~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COM.M:ERCIAL: <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 />$ ((),./Soo <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 />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />Kr ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER 'h~ COMPANY 11~(1 '1 r cn:JfrI.l (l.i)/Y), /nc . <br />~- STATE CERT OR REGIST # r (II, ~ J..1~/5/ftY5 <br />SIGNATURE -.. . c - - r CITY PROCESSING n do 75 <br /> <br /> <br />***************************************************************** <br /> <br />***************************************************************** <br />