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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME LDre th (~)O f;JrP ~ <br />JOB ADDRESS 4 -g{~l 0 17(7) 51- <br /> <br />PHONE <br /> <br />PARCEL ID # <br /> <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION <br />14-c)& rJj -cx,/n-Q;)7cfJ -()/(O(d')flTATN FROM PROPERTY TAX NOTteF.1 <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />J;::tREPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOMJ <br />o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF <br /> <br />CJ RESTAURANT <br /> <br />WORK ~ itt"fJ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ C1 ?]7D .OC) 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 <br /> <br />~OOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 MEAD YES D 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 />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTa= 'h~ <br /> <br />SIGNATURE . 4 <br /> <br />***************************************************************** <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY h~(f "l (nn5fru (l.'0fV)1 )nc , <br />~ STATE CERT OR REGIST # t (1(', ~ /..~0\,-5;"')!)5 <br />CITY PRnr~~~TUr a <br /> <br />d::!5 <br />