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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />' BUILDtNG DEPARTMENT <br /> <br />5-~o S <br />DATE RECEIVED _ <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME ,\:)\\\J \ ~ \>~b::\- <br />JOB ADDRESS . -:-\C\ \~~ 'Y~ t) R-. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br /><- - l...G, -. '"L <br /> <br />BLOCK <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br /> <br />SUBDIVISION L~pkYR -#\~ br ~ <br />-EBQPERTY TAX NOTICEl <br /> <br />Os I GN <br /> <br />o ADDITION.._ OALTERATION <br /> <br /> <br />REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />~ <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIJI1MING POOL <br /> <br />o MOBILE HOM) <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-~~ ~\J{j~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE_ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH 12) PLOT PLANs & (2) SETs OF BUILDING PLANs & 11) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />1111 <br /> <br />\ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />bil<-.oo <br /> <br />I <br /> <br />PERMITS REQUESTE~ <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />o MECHANI GAL <br />o GAS )Q::::s.OOFING <br /> <br />o W.R.E.C., <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 MEAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />~LECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING ! <br /> <br />SIGNATURE <br /> <br />PL~ <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 />MECHANICAL <br /> <br />OTHER _~~ <br />SIGNATUR . .~nL . iJU J~ <br /> <br />***k************************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />COMPANY_'h~(11r) r nn*U (l.i)fV)( )nc. . <br />~ STATE CERT OR REGIST /I f rr. ~ {.:701,-5;----:;-')'5' <br /> <br />CTTY ppnr",""'rur- .u <br />