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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 NAMEf/-..p j~h ~ J I !-b,,~ <br />JOB ADDRESS . 3 '21 tJd i) / 7 rdlh ,A./'I-(./ <br /> <br />PHONE ~lS d--133 ) <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # Od -di..fJ.,.j / -cr<--IO - mlfCD --CCOO (ORTATN FROM PROPF:RTY TAX NOTICF:l <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION oALTERATION '~EPAIR o INSTALL <br /> Os I GN D MOVE D DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />/ CJ RESTAURAA?EALTH DEPARTMENT APPROVAL <br /> <br />~K~ I< [y""'\ <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 />''7, ? J ~ <br />$~~ ,,) <br /> <br />PERMITS REQUESTED <br /> <br /># ~'3~r <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C., <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br />o GAS ~OOFING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D 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 />SIGNATURE <br /> <br />***********.********************************************,~********** <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />OT~~ <br />SIGNATURE .. . __ p~ <br /> <br />***************************************************************** <br /> <br />COMPANY ~~(f VJ r nnJft1.1 (li)fV)t Jnc . <br />STATE CERT R REGIST # (l rr. - /..~nV)~"')tJ5 <br />CITY PROCESSING # -..ii75 , <br /> <br />*******************************************************,~********* <br />