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<br />) <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />' BUILD1NG DEPARTMENT <br /> <br />DATE RECEIVED $- J /-0 S- <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME G1'.\d- \'r.0~~SotJ. <br />JOB ADDRESS Jc\(;.-S\ ~o..OOW~d WclP <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # _ \.~ -uo -2..\ L\t4 0 DOoDO ()q\V <br /> <br />SUBDIVISION~;..l~vtkl1 gt Prrf?S <br /> <br />(ORTATN FROM PRO~ERTY TAX NOTTCFJ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />Os I GN <br /> <br />o ADDITION <br /> <br />DALTERATION ~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 />Ou OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE He <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-~~~' <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 />$ <br /> <br />PERMITS REQUESTE~ <br />S '4 () - Lx,) VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />AMp SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E>,C-;/ <br /> <br />,/' <br /> <br />.--------"-- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />'ION if /91) <br />,,JI <br /> <br /> <br />o MECHANICAL $ <br />o GAS ~OOFING 0 SPECIALTY <br /> <br /> <br />VALUATION OF MECHANCIAL INSTAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE ARE:A.O YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGI ST /1 <br />CITY PROCESSING ~ <br /> <br />SIGNATURE <br /> <br />~LTlMBER <br /> <br />"*"***""*...**..*.""""""""""",*,*",.""*'*'*"'" <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING # <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 h~~ .. <br /> <br />SIGNATURE -. (J 4~ <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />- COMPANY h,0rn(7lr] r nn5fru (l,i)IYJ-I- /nc. . <br />~ STATE CERT OR REGIST 11 f' [1(', ~ /.:7Dl. "7;"1()") <br /> <br />CTTY PRnr~aaTu~ il <br />