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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILD1NG DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME [0(/* _r:h<J(lj) -Ab.(~) /-AJJ../') <br />JOB ADDRESS 77dO C-71 Q{ 8JiP.x' <br /> <br />1/)t1 <br />1 I L-- <br /> <br />PHONE <br /> <br />PARCEL ID # <br /> <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION <br />II-J(p ~d j'-(X)j () '-077cYJ - ~5)ORTATN F'RO~ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION .~ REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI - FAMIL Y 0# OF UNITS o MOBILE HOMl <br /> ~COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPF.RTY TAX NOTICF.l <br /> <br />"3 <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~p~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />$ J4 !5.JO <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C.. <br /> <br />o PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />o GAS <br /> <br />~OOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AHEAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />OTHER h~ <br /> <br />IGNATURE ' ',~ <br /> <br />***************************************************************** <br /> <br />COMPANY; <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />-- <br /> <br />COMPANY ~~(f V") (' nn5fy-u (l.'0tlfJ, Jnc . <br />~ STATE CER,T OR REGIST # r (1(', ~ /.'~~l~"'fQ5 <br />CITY PRnrRqqTM~ a _. . <br />