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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 />,.. ~ . <br /> <br />OWNER'S NAME \.~i l'Yln 1 rLA CLK <br />JOB ADDRESS .'37v..5 a 6 '--t1/ ~. . <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION <br />PARCEL In # /d:- ,).4I-C) I--() 0 :~ -00 j Q~ Q :Sl>UORTA TN PRoM PROPERty TAX NOTT eEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION ~AIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE:~L FAMILY DWELLING OMULTI - FAMIL Y 0# OF UNITS o MOBILE HOMJ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />3 <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />k ~~:hOTAGE <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 />HEIGHT <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />~" <br />//(, " <br /> <br />:J- /P/~ ) <br />~ <br /> <br />o BUIJ~DING <br /> <br />$ <br /> <br />'3 I ODD <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C.. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS ,AOOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNA'fURE <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 />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANy: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />OTHER 'h~ <br /> <br />SIGNA1'URE ~ ~ <br /> <br />***************************************************************** <br /> <br />COHPANY ~~(? V) (' nn5fr'u (l.i)fY) ( /nc . <br />STATE CERT OR REGIST # (l (1(', ~ /..=1~.LJ."")t)<<) <br />rTl'f1v r"-',.....,...."r.1M.....,......._ II <br />