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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWN ER' S NAME ~ \.0 Y ~ \.l \ S \\ \I........ <!..l.. PHONE <br />JOB ADDRESSS1\a.. \~ ST. ~~f>h'fR.~;"S. ":L. ;nS1.p- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />PARCEL 10 # -\\ ~ U ()O\O \1000 O\\t> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />D SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />(ORTATN PROM PB0~ERTY TAX NOTTCPJ <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />'RREPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />3 <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# 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 />~ ~ be'\; <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 & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANs & (I) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />o BUILDING <br /> <br />$ S- ,\ \) D. u'Q <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br /> <br />AMp SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E,C.. <br /> <br />o MECHANI CA1 $ <br />o GAs ~OOFING D SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <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 fI <br />CITY PROCESSING [ <br /> <br />SIGNATURE <br /> <br />PLDMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE _ <br /> <br />**********~******************************************************* <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING # <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY ~~t1 '1 r nn*U (l/)fVJ.j /nc.. . <br />STATE CERT OR REGIST 1# .J1 r(, ~ r,1~,"7t"lt)5 <br />CTTY PRnr~aaTu~ n <br />