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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 />/1-30 -rJ,/ <br /> <br />~ 'It I \~S{,~( 6v(I~A ( ~"- <br />OWNER'S NAME ~ <br />JOB ADDRESS u4L-(1~1f, \Jr. <br />LEGAL DESCRIPTION: LOT(S) 1<; BLOCK t> <br />b)- J~<-d' - OoD!) -- (JOp;;,D{)" 0 t'j() <br />WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION DALTERATION <br />~~IGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: ~SGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />PHONE <br /> <br />"{ Ph-' (~7 <br /> <br />SUBDIVISION<S~O.If\ PC)- <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />pJe<0 r ~c;.1r -.(-h~ <br /> <br />SQUARE FOOTAGE ~ d 7if 7 HEIGHT <br /> <br />BUILDING SIZE <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 /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />P FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />~NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~ <br />..........A-"'" <br />,-, --"- <br />.- <br />-_......~. <br /> <br />COMPANY <br />STATE CERT OR RE <br />CITY PROCESSING # <br /> <br /> <br />**************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY h:"f (Iq~ <br />STATE CERT OR REGIST # (:;c.. -cC'~;!..,?o <br />CITY PROCESSING # <br /> <br />*************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR R <br />CITY PROCESSING <br /> <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />****************************~***r1t/***~******1i <br />COMPANY IS ! c..- L-07:[;aM <br />STATE CERT OR REGIST # CA 05 57b <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 />