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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/;2 -;;2?~ n/I <br />DATE RECEIVED L!. ::z::. <br />PLANS REVJ:EW FEE <br /> <br />OWNER'S NAME <br /> <br />G . L. STf2{~ <br />'3.r' If I dj /3l? If-~ I <br /> <br />, <br /> <br />(~I ..,', 'UC -) ) f '-r( OV <br />\...:-lU I' ~::> ( Ie. l./ L-.{ <br /> <br />PHONE (g13 ) 7g~ -9VlI-2.-- <br /> <br />JOB ADDRESS <br /> <br />13TH A'V~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF.1 <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />;gj INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI - FAMI L Y <br />[J INDUSTRIAL <br /> <br />~# OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />1 -1.''''1 C\C),,-, <br />li'{/~,TAU- .~, IS Xa- U121V0fi'f5 -To vUr-L.qL <br /> <br />BUILDING SIZE <br /> <br />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 />J,;lD 0 <br /> <br />PERMITS REQUESTED <br /> <br />~ 111& <br /> <br />[J BUILDING <br />[J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />pi! OTHER <br />[J FRAME <br /> <br />D STEEL <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br /> <br />'~~C:.'.". <br /> <br /> <br />BUILDER <br /> <br />tj 0~ <br />... -'-~' --.". <:. ,/.., / - -:.~- tI <br /><- LL-L( i (7\ / 7 <br />/ ... )~ <br />****************************************************************** <br /> <br />COMPANY G L .s TdG:.. e-ODSI, <br />STATE CERT OR REGIST # Q,B'-C02.:Z...(3Cl <br />CITY PROCESSING # ~O$ <br /> <br />v~ <br />-1- \; <br />'J c <br />')0' <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANy <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />