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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 ll))),o{ 1/ L/ <br />JOB AnDRESS ((J 4/3 t/u. /)!/!:fJ f, 0.. f:> 7 <br />LEGAL DES CRI PT ION, LOT; S I ' . B::;'CK SUBD IV! S ION <br />PARCEL I D # 03 -ora - a / - 61 J Q .-()C<){) (~- rf(!(fO 'QRTA TN FRO,,! PBOeF.Rn TAX NOTTCF.} <br /> <br />PHONE <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />~REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:'~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMJ <br />o OTHER <br /> <br />3 <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />QUARE FOOTAGE <br /> <br />HEIGHT <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 />$ <br /> <br />PERMITS REQUESTED <br /> <br />.3, 3[J{) . OUVALUATION OF TOTAL CONSTRUCTION <br />, <br />AMP SERVICE 0 FLORIDA POWER <br /> <br />o ELECTRICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL <br /> <br />/ _.-.--'-\ <br />OW. R . E,.-c:'~' i <br />/ ,/ I <br />/ ./) J <br /> <br />/11 ~~ <br />. /'" fJJ <br />INSTALLAT~ON ' <br />"--.----- <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <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 />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />OTHER h~ ~ <br />SIGNATURE . . ... <br /> <br />***************************************************************** <br /> <br />-- <br /> <br />COMPANy ~~(f '1 (nn5ku (l,I)fY), )nc , <br />~ ST.ATE CERT OR REGIST # f ('(', ~ ;..3ovic"')()<) <br />CTTY PRnr~QQTU~ n <br />