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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 ~ ~r b~d\.. Cc~ <br />JOB ADDRESS ~3 S-CO)T L.~?~hR'-:\'d1 '5 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br /> <br />ao,-/c) <br /> <br />SUBDIVISION <br /> <br /> <br />PARCEL ID # <br /> <br />~ 'Ll <br /> <br />BLOCK <br /> <br />Os I GN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o ADDITION ..' OALTERATION .)Q)EPAIR <br /> <br /> <br />o DEMOLISH <br /> <br />o INSTALL <br /> <br />3 <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM] <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br /> <br />~ ~u~ <br />~ - <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANs, 12) SETS OF BUILDING PLANs, (1) SET ENERGY FORMS. <br />ATTACH 13) SETS OF BUILDING PLANs, (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />SQUARE FOOTAGE_ <br /> <br />HEIGHT <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTE~ <br />$- r;;; Lffi ~ . <YJ - VALUATION OF TOTAL CONSTRUCTION <br />AMp SERVICE 0 FLORIDA POWER 0 W.R.E.C.. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANI CAL <br />o GAs ~ROOFING <br /> <br />$- <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />- VALUATION OF MECHANCIAL INSTALLATION <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 MEAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />.................................................................. <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING ~ <br /> <br />SIGNATURE <br /> <br />~LECTRICIAN <br /> <br />~LYMBER <br /> <br />.................................................................. <br /> <br />COMPANY_ <br />STATE CERT OR REGIST It <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />..........~....................................................... <br /> <br />COM PAN y- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />) <br />SIGNAT6RE <br /> <br />-" <br /> <br />................................................................. <br /> <br />COMPANY_ <br />STATE CERT OR REGIST fI <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br /> <br />COMPAny M grn(1 '1 ( r'n'5fru'ctlfY) i ,/ nc . <br />STATE CERT OR REGIST /I Lee .~(71.');")t)") <br />CT'T'Y PJ:?nrl;'C!C!'ru~ 5P . <br />