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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED II * 3 I:) .- of <br />PLANS REV:IEW FEE <br /> <br />, OWNER'S NAME ~tJ..v'\ ~ ~fl d L.l'Y\.j~U G PHONE frio ~-{q:4S; 7 <br />JOB ADDRESS 0<-/ SO ~ leI '()r. <br />LEGAL DESCRIPTION: LOT (S) \.e BLOCK D SUBDIVISION ~\lIC.r ~ V.llt-f ~_ 2- <br />PARCEL 10 # 0"1- )(~..:l\ - 0 ;3';rO - O~O'" ()O'D (OBTAIN FROM PROPERTY TAX NOTICEl <br />, Co ()OO <br />WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR D INSTALL <br /> <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ffsGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK N&.." C'U-\trv~~ <br />BUILDING SIZE ~j~ 96 SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~' FLORIDA POWER <br /> <br />o W.R.E.C. qq' <br />.\- ~~ <br />~I <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />! FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />~ <br /> <br />COMPANY <br />STATE CERT OR R <br />CITY PROCESSING <br /> <br />BUILDER <br /> <br />SI.GNATURE <br /> <br />ELECTRICI <br /> <br />*************************************************************** <br /> <br />COMPANY r:; ~5t 01.'<-3 ~ .t:f ~c f;/( ~ <br /> <br />STATE CERT OR REGIST # U l)(jc)L.f)o <br />CITY PROCESSING # <br /> <br />*************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY~"'-J 7Iv",bh~ <br />STATE CERT OR EGIS # f-F- 0011 <br />CITY PROCESSING # \ l.l (, <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />............................t'J\....t..A>I....~...... ~ <br />COMPANY AIlS rrtC- 0 ~aA1 <br />STATE CERT OR REGIST # c.A 05 515 <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />