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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 -~. ) O_~pJ, F;:.e !..-JJt r <br />JOB ADDRESS ,5"'0> J 0 I'M 6)- <br /> <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION, LOT 1 S) BLOCK SUBDIVISION <br />PARCEL ID # II-~& -a J -('I, 10 -I (~ I Do - () /.5 €WrA TN ~ROM PROPERTY TAX NOTT GEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION ~EPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING OMULTI - FAMIL Y Off OF UNITS o MOBILE ROM] <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />:> <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />1?~ - eC:l\-F <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH 12) PLOT PLANs & 12) 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 />/" 5? <br /> <br />REQUESTED (--1t_ j f.------/ <br /> <br />VALUATION OF TOTAL CONSTRUC~.~ <br /> <br />PERMITS <br />$:5. ()4 () . () C) <br /> <br />, <br /> <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP S ERVI CE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C.. <br /> <br />$ <br /> <br />o GAS <br /> <br />~ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: D 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 />PLt1MBER <br /> <br />****************************************************************** <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 />SIGNATURE <br /> <br /> <br />COMPANy ~~(? lr) (nn5fru (l.i)fY'), /nc . <br />STATE CERT OR REGIST # ~ ('(', ~ /..3oL'7;"")t)") <br />CTTY ?Pnrj;'<:!<:!T"... l.l -9 <br />.20 <br />