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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.:z III / t;S' <br />DATE RECEIVED ,- - <br />PLANS REVIEW FEE <br /> <br />PARCEL ID # <br /> <br />ittd I ~ ~ ~A? <br />~5'7 . ~h-e 'II-€- <br />(Ig <br />6 , -;?fsJ -:;;J I - t)ddO -lJol3CO - (') I {gO <br /> <br />PHONE <br /> <br />7eI;) ~;K"7 <br />~h{~U!~Jc A;- <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />'p" <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF.l <br /> <br />WORK PROPSED: ?fNEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />AJeNfIru.1e- <br />Bs-' SQUARE FOOTAGE a.(t/5't <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />)16 'I- <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1)..-SE1f'ENERGY FO~. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERG.Y. FO~S.,-,~. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION ,/ \ <br /> <br />/'01~ pO 0 <br /> <br />PERMITS REQUESTED <br /> <br /> <br /> <br />f BUILDING <br />rQ. ELECTRICAL <br /> <br />$ <br /> <br />/f;;O, dO 0 <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />FLORIDA POWER <br /> <br />" <br />( j'i1iJ <br /> <br />INSTALLATI~ // <br />/' <br />_._~'~ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />o <br /> <br />W.R./E.C. <br /> <br />FfJ PLUMBING <br />~ MECHANICAL $ <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION:~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 'NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />~ <br /> <br />COMPANY }1/11 11 ~l/A/e ff;;l11i~ ~ <br />STATE CERT OR REGIST # I ~ <br />CITY PROCESSING # .5<130-- <br /> <br />BUILDER <br /> <br />* **************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE " <br /> <br />COMPANyJ, (<.'5 r c (?ZSS ~,{e <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************************************************ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />-T~ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />**************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />