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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 Lo}-Jt-J f1 aP-\J tS <br />JOB ADDRESS 515"3 11 ("1 \ L-!b. A'J <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # \ \ '1..J'7 '.'J~ ()6<. 0 ()'?~L"")()O OO<?-O <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />:; <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION .._ OALTERATION W REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE; DSGL FAMILY DWELLING OMULTI - FAMIL Y Ou OF UNITS gg MOBILE HOM] <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(OBTATN FRQM-ERQpP.RTY TAX NOTICP.) <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ ~ ()^ F <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 />$ S'J 4 C)().OQ <br /> <br />PERMITS REQUESTE~ <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 />o MECHANICAL <br />o GAS ~ROOFING <br /> <br />$ <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: D 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 0 NO <br /> <br /> <br />BUILDER <br /> <br />~LECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING n <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE _ <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY. <br />STATE CERT OR REGIST It <br />CITY PROCESSING # <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />/.............. <br /> <br />COMPMIY h!!;rnr1 VJ r nn:5lf[J (l.i)fY)( ,Jnc , <br />STATE CERT OR REGIST 1/ -L~~--Lj(7l,"7/:.;)") <br /> <br />CT'T'Y ppnr"'"",,.,,~ 1.1 <br />