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<br />OWNER'S NAME <br />JOB ADDREssLI'T'/. <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />~ BUILDIliJG DEPARTMENT <br /> <br />~,~Bllldtf/1 fL-C,. <br /> <br />DATE """"IVEIl :J; 7/ (Iii <br />PLANS REVIEW / <br /> <br />PHONE '7ft1o'-{p?X;7 <br />, <br /> <br />LEGAL DESCRIPTION: LOT (S) ;; D <br />PARCEL ID # ~ - ()(g- ;; \ - DadO(j- <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br /> <br />BLOCK D <br />b()Bb - (JUdO <br /> <br />SUBDIVISION c;l\lIe.r~ Vlt~~ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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 />D COMMERCIAlJ <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAlJ <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />DMOBILE HOME <br />D OTHER <br /> <br />BUILDING SIZE <br /> <br />5IN~~ D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />OF WOR~~V~~~\ ~/.. (1 ('~LI(~ fY1(jdt~1 <br />SQUARE FOOTAGE I YDQ '4 <br /> <br />HEIGHT <br /> <br />DESCHIPTION <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 />FORMS.CJl~ <br />;E"- r!- ' <br />/II ue- <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL 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 /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR EGIS <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * ** * * * ** ** * * ** * *** * * * ** * *;;* * *'1<* * ** '/<* * * * ** * * *, J <br /> <br /> <br />COMPANY h4 &~ Red <br />STATE CERT OR HEGIST # ~~~~ <br />CITY PROCESSING # <br /> <br />ELECTRICI <br /> <br />SIGNATURE <br /> <br />~'l1ML <br /> <br />************************************************. <br /> <br />COMPANY CO/by J4Y";;, {{/A1~ 14 'j <br />STATE CERT OR REGIST # ,,~ " 'I? '2 <br />CITY PROCESSING # /~t <br /> <br />***s*'***ft** <br /> <br />C <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />***************** ********************************************** <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />MECHANICAL <br /> <br />OTHER COMPANY <br />STATE CERT OR REGIS'f # <br />SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br />