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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 NAMEft~blY/1f!;-A-) <br />. ~ 5k, J <br />JOB ADDRESS -'H40 /0, . ~ <br /> <br />PHONE <br /> <br />PARCEL ID # <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />11-()tt~Jj'-m/~- () J9 ty)- m 3 () <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />IORTATN FROM PROPRRTY TAX NOTTCR) <br /> <br />Os I GN <br /> <br />DALTEAATION <br /> <br />~REPAIR <br /> <br />o INSTALL <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 />Dit OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE ROM] <br />o OTHER <br /> <br />') <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/~~ ~Of)-C <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL, ATTACN 12) PLOT PLANs & 12) SETS OF BUILDING PLANs & 11) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ 3/ nOO . cD VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C.. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS ~OOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 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 />* * * * * * * * * * *.** ****** *** * * ****** ************** ********** ** *** * *** * ** <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 />SIGNATURE <br /> <br />::~~; rhW/' <br /> <br />***************************************************************** <br /> <br />--~.~-- <br /> <br />COMPANY 'h~(il Vj r nn5fru (lJ) fYl{ ,/ nc . <br />- STATE CERT OR REGIST # ~ [1(', ~ /.jOl,'7;"')t)"') <br />- CT'T'Y PJ:lnrl<'''''''TU~ 11 ~ <br />