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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />o BUILDtNG DEPARTMENT <br /> <br />DATE RECEIVED 5,//- 0')- <br />PLANs REVIEW FEE <br /> <br />OWNER' s NAME~~.. h \ ~t I ~ If \:) V, <br />JOB ADDRESS '""3 ?Co ~"2 .~& AN<<e.- <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />olio '2.\ eP10 "LOSOO OV-'\O <br /> <br />BLOCK <br /> <br />SUBDIVISICm <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />~\)LA ~ ~~ <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAlJ <br /> <br />o ADDITION ", DALTERATION "iREPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY DU OF UNITS o MOBILE He <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br /> <br />Os I GN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />:> <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <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 />HEIGHT <br /> <br />o BUILDING <br /> <br />$ <br /> <br />31.[56.06 <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 />o <br /> <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAs <br /> <br />~ROOFING <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 D NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANy <br />STATE CERT OR REGIST tI <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 />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST 11 <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER -h1;;t <br /> <br />SIGNATURE. (J-a.~~ <br /> <br />*******************************************************ok********* <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />- <br /> <br />SIGNATURE <br /> <br />COMPANY 'h~(1 VJ r nn<jfyU (l,i)fYJ+ )nc . <br />~ STATE CERT OR REGIST # ..t ('(', ~ L1D1,-<);"l()") <br /> <br />CTTY PRnr~~~TU~ n <br />