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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME \) (.) "-J 6...L ~ 'i..JtrJ~ ~ r <br />JOB ADDRESS G,l b 'l>~\~S WOOd L \ ~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: Ol'IEW CONSTRUCTION <br /> <br />PAACEL 10 # ~l.- '1.Jo '"1..\ Oruoe> \ t"; \ 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Os I GN <br /> <br />o ADDITION ... <br /> <br />(ORTATN PROM PBQPERTY TAX NOTTCF.l <br /> <br />OALTERATION -.tL REPAIR 0 INSTALL <br />o DEMOLISH <br /> <br />PROPOSED USE :J&SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />~ <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HaM] <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />RR~~ <br /> <br />BUILDING SIZE <br /> <br />~ <br /> <br />RESIDENTIAL, ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANs & (11 SET ENERGY FORMS. <br />COMMERCIAL, ATTACH (31 SETS OF BUILDING PLANs & 111 SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />0 BUILDING $ L1()4(J.0\) <br /> , <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL $ <br />o GAs ~ROOFING o SPECIALTY <br /> TYPE OF CONSTRUCTION: D BLOCK <br /> FINISHED FLOOR ELEVATIONS <br /> <br />PERMITS REQUESTED <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 OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />- - <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING ~ <br /> <br />SIGNATURE <br /> <br />~LDM8EE~ <br /> <br />****************************************************************** <br /> <br />COMPANy <br />STATE CERT OR REGIST # <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANI CAr.. <br /> <br />OTHER ~~ <br />SIGNATURE .. n' ) ~~'- <br /> <br />***************************************************************** <br /> <br />COMPANY. <br />STATE CERT OR REGIST 1/ <br />CITY PROCESSING It <br /> <br />COMPANY '-g~r11r) (nn5!rU"DrY)c Jnc . <br />~ STATE CERT OR REGIST /I ..L..C( '~.~.~-)?')5 <br /> <br />CTTY PQnr~aaTU~ u <br />