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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG DEPARTMENT <br /> <br />{; -/~-c)t/ <br />DATE RECEIVED ___ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 0tDrgL fl)t wKun ) <br />JOB ADDRESS ,~??q j ~ ,-5711- Ifue_ <br /> <br />PHONE 'i/ --3 - 7 2!J-to ~og <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 11-rJ,W-d/-80/iJ--//o'7CO-()(J5) <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(ORTATN FROM PROPRRTY TAX NOTTCRl <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />~EPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <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 />o ELECTRICAL <br /> <br />~ERMITS REQUESTED <br />~&ISOO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />/~ <br />Ow. R. E..,,{:./ \ <br /> <br />/' ~' I & 4 ) <br /> <br />INSTALLATION ~ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS )! ROOFING <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D 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 h~ <br /> <br />SIGNATURE . - - - ~.-L-- <br /> <br />***************************************************************** <br /> <br />COMPANY }1~(f V") lnn5ff-U (l,i)fY), )nc . <br />STATE CERT OR REGIST # (l ('r. ~ /..~~\-5;"')Cr) <br />CITY PROCESSING # a 7..-1 <br /> <br />***************************************************************** <br />