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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 />~ 'f)., <br />OWNER' S NAME=.J~1 ('!- LDCK-f"0 <br />JOB ADDRESS 6..4 I'D < = 1 () rj ~t.h /\.1 <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />Dr <br /> <br />PARCEL ID # <br /> <br />/).' {;Y(fl-~J -ty\Lj(j - f)C"/-!CO C(;'1;?~FROM PROPRRTY TAX NOTICEl <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALT ERAT I ON )<(REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING OMULTI - FAMIL Y Oft OF UNITS o MOBILE HOMl <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~e~ <br /> <br />UARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/' <br />,./... <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />o BUILDING <br /> <br />$ ,J/I~(){) <br /> <br />PERMITS REQUESTED <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 />o GAS ~ROOFING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 />OTHER ~~ <br /> <br />SIGNATURE . ~ <br /> <br />***************************************************************** <br /> <br />COMPANY h~(1 Vj r nn5fru (l.'0fY); )nc . <br />STATE CERT OR REGIST # r ('(', ~I,~~,-5;"")/)5 <br /> <br />rTtf1V ot)"',....,T.'I("'If"'I...-......_ " <br />