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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />, BUILD!NG DEPARTMENT <br /> <br />DATE RECEIVED /o~/f-of <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 1"* tv.,":kel rhr:tlJ~)+ ChU,iC~ PHONE(kf- 'f:51i5 <br />JOB ADDRESS 3;?(o~5 5th 4+:. , <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />/ I-JIP --(-) ) - 00) 0- 15oC:CJ-06j 0' (ORTATN FROM PROPF.RTY TAX NOTICE) <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION DALTERATION }t:REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOMI <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />:> <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br />V-€- fJ{l:L-L) <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ <br /> <br />S~ FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />$ <br /> <br />I ( Do () <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o GAS <br /> <br />~ROOFING <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o SPECIALTY <br /> <br />o <br /> <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD 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 />SIGNATURE <br /> <br />***********~****************************************************** <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANI CAL <br /> <br />OT~ 'h~ <br /> <br />SIGNATURE - _ .~ <br /> <br />***************************************************************** <br /> <br />COMPANY M~(f V"j r nn5fru (li)fV)r )nc . <br />STATE CERT OR REGIST # (l [1(', ~ 1"~~l~")C)5 <br />CITY PROCESSING # a 7..,5 <br /> <br />***********************************************************^***** <br />