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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 (. ~'('" S ~ U"C., b \G,~() Y. <br />JOB ADDRESS S'l\ \0 ',Gt'i'L <)T <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # _ \\'1..~ 2.1 00\0 O~ (dOO ("'X::J1S- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(ORTATN FROM PRQPERTY TAX NOTTCPJ <br /> <br />o ADDITION <br /> <br />OALTERATION ~REPAIR <br />o DEMOLISH <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />Dtt OF UNITS <br /> <br />o MOBILE He <br />o OTHER <br /> <br />=> <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ -c. ~"'<:>\. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FoOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH 12) PLOT PLANs & 12) SETs or BUILDING PLANS & II) 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 />3 ('1 00 <br />I <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 PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAs <br /> <br />1i( ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 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 # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST tt <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />SIGNATURE,^' . <br />",/') f <br /> <br /> <br />~,~i} <br />j <br />;/ <br /> <br />COMPANY h~{7 VJ r nn5fru (1 i) fY}~ / nc . <br />STATE CERT OR REGIST It r (1('. - /.,1r71,~'T()5 <br /> <br />CITY PRnr~aaTU~ II <br />