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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 'I.\~ ....\... ~........~ <br />JOB ADDREss "6~ c..",~~~ f:l..'f<... :::z..: ~ <br /> <br />PHONE <br /> <br />~L. "))S'"'O. <br />SUBDIVrsION~\.~~~ V\'\~c. (~~5 <br />1l'ERTY TAX NOTTCFJ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />PARCEL ID # <br /> <br />4..S '-\ ~eSf\ ~oto \"'l..'0 <br /> <br />BLOCK <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />Os I GN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL 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 SWIMMING POOL <br /> <br />o MOBILE He <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-~~e.~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANs & 12) 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 />o BUILDING <br /> <br />$ <br /> <br />S!-o l)O. /)):) <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 W.R.E,C.. <br /> <br />o PLU~fBING <br /> <br />o MECHANI CAL <br />o GAS ,ftROOFING <br /> <br />$ <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 It <br />CITY PROCESSING ft <br /> <br />SIGNATURE <br /> <br />PLt1MBE..R <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE _ <br /> <br />**********~******************************************************* <br /> <br />cm1P ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANr CAL <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY h:yn(1 VJ r nrr5!Y[J (l.i)fV)-/ )nc . <br />STATE CERT OR REGIST # f (1(', ~ /,~~, '7t"'J/)") <br />CTTY PRnr~~DTU~ u <br />