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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 />!.tls-Ios <br /> <br />I ' <br /> <br />OWNER'S NAME V. lilt}! ~ ,,,,,-e.. ~.Jdt. <: (.:he <br />JOB ADDRESS ~ 50S \J,. c...lOR (A'V\ ~ <br />LEGAL DESCRIPTION: LOT (S) ~ 91 BLOCK <br />PARCEL ID # ~'-Jlt -,9\- ~}b'- obbLiCl'- 63 \0 <br /> <br />PHONE <br /> <br />trek .-&'/r;-7 <br /> <br />SUBDIVISION~I4'Q:h V,'4fl.2 <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />WORK PROPSED: g{NEW CONSTRUCTION <br />6'SIGN <br />PROPOSED USE: ?f~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~~V HUI~ G,^~\ ~-hIL <br />BUILDING SIZE ~d 1- S, 'ttli SQUARE FOOTAGEI,-\(J~ <br /> <br />~C"1 <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 />PERMITS REQUESTED <br /> <br />Jf L(ft 3& <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />'t-MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ VALUATION OF TOTAL CONSTRUCTION <br />----1.S:h- AMP SERVICE ~'FLORIDA POWER 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />~ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br /> <br />SI,GNATURE <br /> <br />COMPANY HU '0 <br />f <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />~********************************************** <br /> <br />I '/ ~ t'? /1 ._ <br />COMPANY \:, I C,,')I ,f>i.., CU..l {he, <br />STATE CERT OR RE ST # 'B;~- 1:1~JD Tr- <br />CITY PROCESSING # ~~~ <br /> <br />PLUMBER <br /> <br />* *********************************************************~**** <br /> <br /> <br />COMPANY Oi4 ~N!f ~~til <br />STATE CERT OR REG ST # CFtl ~~/3 <br />CITY PROCESSING # Ih~ <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />******************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />