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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 &{"-e..j ~ (~~ "~h~___ <br />JOB ADDRESS S"')'i q l{ -r\.-:)T <'~~J\--\-:'\V; \L '354.?_ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />PARCEL ID # \\~ .2.\ OCliO ()C1 hOC) (0) 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION ,._ OALTERATION ~EPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY On OF UNITS o MOBILE HOMI <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(OBTAIN FRO~ PROPF.RTY TAX NOTTeR) <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~u ~Jh ~ <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 />$ '~<6 00,00 <br />- I <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 />D W.R.E.C.. <br /> <br />o PLUMBING <br />o MECHANICAL <br />o GAS ~ROOFING <br /> <br />$ <br /> <br />D 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 AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST #. <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br /> <br />*********************************************************k******* <br /> <br />COMPANY- <br />STATE CERT OR REGI ST II <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY M,0'n(1 V; r nn::ku (l.0fY)( )nc. . <br />STATE CERT OR REGIST # .1.~,. L,1~,"7/)!)"') <br /> <br />CITY PQnr~~CTU~ n <br />