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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />, BUILDtNG DEPARTMENT <br /> <br />DATE RECEIVED /1)' / I - /) 5/ <br />PLANS REVIEW FEE <br /> <br />OWNER' S N~€yf)~ <br />JOB ADDRESS J./ ,),. . <br /> <br />.~~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # /;)-J(P-J/-W30 --oo4ro-u/{JO <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(ORTATN FROM PROPERTY TAX NOTICE} <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />~EPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~GL 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 />3 <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br /> <br />he - (2.b756 <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />D BUILDING <br /> <br />$ <br /> <br />4'-1{)O <br />I <br /> <br />HEIGHT <br /> <br />& (1) S/~/~;:Y FORM~ <br />FORMS ../ , <br /> <br />~;11CZ / <br />PERMITS REQUESTED ~'~ 1 ,,/ <br />~ <br />VALUATION OF TOTAL CONSTRUCTI __/'/, <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C., <br /> <br />o PLUMBING <br />D MECHANI CAL <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 MEAD 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 ~~ ~ COMPANY I1fiip(1'1 Crn7f-ru ('~fV), }nc. <br />STATE CERT R REGIST # (l ('(', ~ J ,=1~,~-'ftY5 <br />SIGNATURE . ~ . -. CITY PROCESSING # ;). 75 <br /> <br /> <br />******.*~*.****************************************************** <br /> <br />***************************************************************** <br />