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<br />APPLICATION FOR PEBMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /0 ~ /9 -0 f <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME /,y 11/(111'1 <br />JOB ADDRESS '")/77 I (:) <br /> <br />h Ovff /J.v.... ./' <br />~~ ,\A) -P'O(j \)r <br /> <br />PHONE 7LIJ-54:3 J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 07rJ.{O-;) 1-o'1lJ-(')(X:a),-O~OU <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />IORTATN FROM PROPF.RTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />}rREPAIR <br /> <br />D INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMIL y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOMJ <br />o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />h l'{)Q b <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 />$ c{3J-o <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C., <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS ~OOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 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 />MECHANICAL <br /> <br />OTHER 'h~ COMPANY 'M1!r'{1 '1 (' &1:51(1) (l1) fY), ) DC . <br />~ STATE CERT OR REGIST # (l (II, ~ /..~r7V5/)d5 <br />SIGNATURE -.. ' . ---,,--- CITY PROCESSING # 07,") <br /> <br /> <br />***************************************************************** <br /> <br />***************************************************************** <br />