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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME f;t ,I}yj fhmm()Y1 0{ <br />JOB ADDRESS t.p;() 2 /C} 1'>, ~ ' <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # /L/-c;)(f)'?) I-~ )n~b()/~ ---011 (; <br /> <br />SUBDIVISION <br />(ORTATN FRO: PROPERTY TAX NOTTCF.l~ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />)(r REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />~ <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM] <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />. ?1f iZMr:J <br /> <br />- - YUARE FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANs & 12) SETS OF HUILDING PLANS & 11) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />$< to DD.ao VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C., <br /> <br />o PLUMBING <br /> <br />o MECHANI CAL <br /> <br />$ <br /> <br />o GAS (Q'ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING ! <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />***************************************w************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********.******************************************************* <br /> <br />COMPANy <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY h~(1 V"J (nn5f-ru (li)fY)( /nc . <br />STATE CERT OR REGIST # ~ (1(', -j..~~."'7."",)!)") <br /> <br />CT'T'V POn("""'C'C!l":'''rU_ 11 <br />