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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 -?; Db rf i3u f/.f ~ <br />JOB ADDRESS (/;(00 ;7fh ~ <br /> <br />PHONE 7?d- IR Z//f (j <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL In # n:J- d(P-~ / -i'i;CjO -()O{)On.-d</) (;J,TATN PROM PROPERTY TIlJ< NOT,CEl= <br /> <br />WORK PROPSED: <br /> <br />NEW CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />o ADDITION .._ DALTERATION j('REPAIR o INSTALL <br />o MOVE; 0 DEMOLISH <br />DMULTI - FAMIL Y Off OF UNITS o MOBILE HOMJ <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />Os I GN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />:> <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANs & (1) SET <br />ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />ENERGY FORMS. <br />.------.. <br />/' <br />/' <br />/ ///'. '''', <br /> <br />///>~e. t 5~' <br />.' 1 <br />".. <br />i r ',' <br />~/ <br /> <br />W.R.E.C.. <br /> <br />o BUILDING <br /> <br />$ (~:['--I5 <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br /> <br />o <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />~OOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECRANCIAL INSTALLATION <br /> <br />o OTHER <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 AREAD 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 It <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 h~ <br /> <br />SIGNATURE . <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~4 <br /> <br />.-- <br /> <br />COMPANy M~(1lr) r nn5fru (li)fY)( )nc.. . <br />~ STATE CERT OR REGIST # r (1('. ~ ;',1oV5;"TIY5" <br /> <br />CT'T'Y PPnr",,,,,,,.,..,... .u sY <br />