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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /ojI9~f <br />PLANS REVIEW FEE . <br /> <br />V~'!l ~~ ~ldtiS:k(, <br />(p L( ,31 \/1 rA7l{tlV\ 'AJ, <br />LEGAL DESCRIPTION: LOT(S)~ BLOCK ~ <br />3- ;}Ia- 3' - o ()3-0 0 ,- {)tJ'RO .... n;qo <br />WORK PROPSED: )QNEW CONSTRUCTION <br />o SIGN <br /> <br />OWNER's NAME <br /> <br />PHONE <br /> <br />ttl~~ 7'f/6'-fo~~7 <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM <br /> <br /> <br />SUBDIVISION <br /> <br />o ADDITION <br /> <br />DALTERATION <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 />~'l~b-l$.~L'f .DW~ftSTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK rtJv~fr~ ~~-/t ~(r.'j~ fl/lfJill <br />SQUARE FOOTAGE /"169 tI <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~~ I <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~_ ~ (~ <br /> <br />jJt<!.." <br /> <br />PERMITS REQUESTED <br /> <br />- <br /> <br />c <br /> <br />pC!- <br /> <br />o BUILDING <br /> <br />$ <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 />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 />o 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 />COMPANY I Cl <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * ;;'::~f'a';':; * * ::;,;;C ~ <br /> <br />COMPANY r7"...... ~C '( <br />STATE CERT OR REGIST # .E~ ~()L5?v <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />************************************************* <br /> <br /> <br />4/~ ~'t,?O {{"/-nb/~~ <br />~~~~:~ERT O~ EGI S # Pi F - (to ~ h 1i~ j <br />CITY PROCESSING # ) L ? <br /> <br />****'******************~~'*ftft**~ <br />COMPANY I <br />STATE CERT OR REGIST # C A 05 519 <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />************** ************************************************* <br /> <br />OTHER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br />