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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 <br /> <br />'~'b~' Lz-~ <br /> <br />JOB ADDRESS <br /> <br />. ell OC' G-f<~ I.::,~t"c-V <br /> <br />PHONE <br /> <br />Cl' <br /> <br />"2.-e: .'V'r---. 'i ch; i. 5 )~. L ') ~~ S- 'iL <br />BLOCK SUBD IVI S ION - I..J -l el cr W &-(JtfJ <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />PARCEL ID # \0 ~l..C;.- 'LI - 01 LO-G0o,,\':,- 0') \0 <br /> <br />o ADDITION <br /> <br />(ORTATN FROM P8QPERTY TAX NOTICE) <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />DALTERATION 3~EPAIR <br />o DEMOLISH <br /> <br />o INSTALL <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMU Y <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM] <br />o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ ~<.J~ \? <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 />o BUILDING <br /> <br />$ <br /> <br />s S- l5'D ,rx) <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C.. <br /> <br />o PLUMBING <br /> <br />o MECHANI CAL <br />o GAS ~ROOFING <br /> <br />$ <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 ARE:A.O YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST ft. <br />CITY PROCESSING l <br /> <br />SIGNATURE <br /> <br />PLUM8.ER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING ft <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OT~~ <br />SIGNAT . _ ~ <br /> <br />***************************************************************** <br /> <br />COMPANy <br />STATE CERT OR REGIST fI <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />COMPANY '~~r1 V) (nn5ku (l.j)fV), JOe. . <br />= STATE CERT OR REGIST II -LCC'L3Dl,""5;'i;"Y') <br />CTTY PPn("t:'C!C!'T'''~ .u.5"i? <br />