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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILD!NG DEPARTMENT <br /> <br />DATE RECEIVED 9 - / J/- () 'I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME -CJ OJ..A C&~'irt-=, <br />JOB ADDRESS 3CJ ~ me) Yl(,) r b I <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />/;)-CJlr-d J -ffi'Y) - C:L:a:>()-Oi5IJ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION ~EPAIR o INSTALL <br /> D SIGN D MOVE 0 DEMOLISH <br />PROPOSED USE:)zfSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS D MOBILE HOME <br /> D COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(ORTATN FROM PROPERTY TAX NOTICE) <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-g~ - rooD <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 ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />D BUILDING <br /> <br />$ 3"C(:j <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br /> <br />o W.R.E.C., <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: D 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 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 />MECHANICAL <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER ~~ <br /> <br />SIGNATURE .:. . ~ <br /> <br />***************************************************************** <br /> <br />COMPANY }1~(t V)" (nn5/-ru (l.i)!Y), )nc . <br />STATE CERT OR REGIST # r [1('. ~ /.'~~'~l"')tJ5 <br />CITY PROCESSING # Ol '75 <br /> <br />***************************************************************** <br />