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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 ~ \l'<J \.1ST f\ k\,,))-s <br />JOB ADDRESS_S"13i \1;tb fl. <br /> <br />PHONE <br /> <br />PARCEL ID # _ \\L..(.'2..\ \)Ole> t)c:g~~ Ot\\l\ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />~ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION ." OALTERATION -' REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI - FAMIL Y DU OF UNITS o MOBILE He <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />{OBTATN PROM P8D~ERTY TAX NOTTCFJ <br /> <br />DESCRIPTION OF WORK <br /> <br />~.~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PLANs & (2) SETS OF BUILDING PLANs & (1) SET ENERGY FORMs. <br />OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />\ <br />i )L(~0 // <br />( t I // <br />''''--~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />"3 b .1.) 0 ,ltJ VALUATION OF TOTAL C~NSTRUCTION <br />) - <br />AMP SERVICE 0 FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br />o GAS ~OOFING <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />$ <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECRANCIAL INSTALLATION <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 />ELECTRICIAN <br /> <br />*******************************************************,~********** <br /> <br />COMPANY <br />STATE CERT OR REGIST it <br />CITY PROCESSING ~ <br /> <br />SIGNATURE <br /> <br />PLUMBER. <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST it <br />CITY PROCESSING it <br /> <br />SIGNATURE <br /> <br />MECHANI CAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # _ <br /> <br />SIGNATURE <br /> <br />OT~ 7z / <br />SIGNATURE - u f1.r <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />COMPANY ~,0rn{7 VJ (nn5fru (l i) fYJ+ )nc . <br />= STATE CERT OR REGIST 1# r ('1(', ~ l.~~, "];"')()<) <br /> <br />CTTY PRnr~~~TU~ il <br />