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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 />.-- j _LL <br />OWNER'S NAME .) (,'}(/'I , ('f)-II- <br />JOB ADDRESS Lj7.J8 i t.ft3r) L/h ~ 1- <br /> <br />PHONE-35d~)_~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL In # 14- d&. -d I ~fX2Jn- 6JI ifj-()l;:;'O. (O"T~n;: ~ROM PROPF.RTY TA~ NOT,CF.l <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />1Z! REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~LTI-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 />CJ R~::Y'JR!\NT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK~~ ~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 /> <br />$ ~:AqO <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMp SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C.. <br /> <br />o PLUMBING <br /> <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO 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 />OTHER h~ <br /> <br />SIGNATURE . -. -.~ <br /> <br />***************************************************************** <br /> <br />COMPANY rg~(il '1 l nnJ!-r(,) (l.i) fY) I J nc.. . <br />STATE CERT OR REGIST # (l (1(', - /..1a,-5"l"'5-cJ5 <br />CITY PROCESSING # ;z, 7....1 <br /> <br />***************************************************************** <br />