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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDtNGDEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />I <br />OWNER'S NAME ~LVJ,rv .~.\\t(.lJ <br /> <br />JOB ]\.DDRESS ~. DOg 6-(.\ LL ~ ~V c0 <br /> <br />PHONE <br /> <br />LEGAJ~ DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />\ \ z.G 1.J CO, () '2.L5~ f.::f.;f; 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION .._ DALTERATION ~ REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMIL Y Dtt OF UNITS o MOBILE HOM] <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(ORTATN PROM PRQPERTY TAX NOTICF.l <br /> <br />'] <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~N)&-\d \-{2...~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMME;RCIAL: <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 />PERMITS REQUESTED <br />t.:..LOC7.(.v <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 /> <br />o MECHANICAL $ <br />o GAS -~f\OOFING D SPECIALTY <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />ELECTR:~ <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />PLUMI3.ER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING ff <br /> <br />SIGNATURE _ <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />MEeHANI C.AL <br /> <br />OTHER h~ ~ <br />SIGNATURE "tJ u. .... J \.-- <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST IF <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />COMPANY 'h~t1 V') (nn<jf(V (1./) fV) r ) nc . <br />~ ~~~~E p~,E~~,,~~,,~E~IST 1/ --LCC . L3D\A;~ty') <br />