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<br />JOB ADDRESS <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />v,l lt1-~ ~~ BVlY~~'r,~'. <br />Gftf ..f1111j,~g(v~ ,1I<1.'k ' <br />Wc1v<<'c- '^~ IY/35 <br />LEGAL DESCRI PTION: LOT (S) t B BLOCK is <br />~- J.&-oq- O;1"d-Oo- D(JfSO - O\/bO <br /> <br />DATE RECEIVED /~/J~/Df <br /> <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />7()(J- &#c;7 <br /> <br />SUBDIVISION <br /> <br />('(\~ej ()h. VIJ~~. <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 'NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL 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 />511~~Lh 11. . . D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />h-~/L,>- --....J. I" () - I /0 L/' /JA ,_ IJ <br />DESCRIPTION OF WORK -fOU\.U2{(Ok. re/~<:' (. ..- L~~ IV"\. 'Vl~ <br /> <br />BUILDING SIZE SQUARE FOOTAGE / yO? ~ HEIGHT <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 />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS, <br /> <br />FORM~~~ <br />~~ <br />Ci/v <br /> <br /> <br />o BUILDING <br /> <br />$ <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 /> <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: 0 BLOCK <br /> <br />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES J1l NO <br /> <br /> <br />COMPANY <br />STATE CERT OR REG <br />CITY PROCESSING # <br /> <br />**************:::::::**~~.~~~**~c:~ <br /> <br />STATE CERT OR REGIST # ~ ~~~~ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************************************************* <br /> <br /> <br />&~ //1 ~ COMPANY A/o/ Jall"')" l/tlA16;J1~ <br />u:/__ STATE CERT OR REGIST ~ I? r O(J"" 1'- "1 <br />___ ____ . _________ CITY PROCESSING # /~ <br />**********~******************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />MECHANICAL <br /> <br />************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />