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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED f!{/J.- /05 <br />I I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />filA de;/lfJe S-fe6'b iN S <br />505/ S-tlt s;tR-~-+ <br /> <br />JOB ADDRESS <br /> <br />g/3-?fJ.-rJ..4/7 <br /> <br />PHONE <br /> <br />LEGAL D~SCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br /> <br />11-).0- ;/-OOIO-lt700- 001./0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />CORTAIN FROM PROPERTY TAX NOTTCF.l <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />~. REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />PROPOSED USE:)6SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI - FAMI L Y <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[] SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />E~lthJ Cl/l11ft' (Jut Of f} iR-- hf/Nd /'f>fl, ) 3 <br /> <br />fOAl - S /(w lea/~-I-12';jJ <br />. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y 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 />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />~ MECHANI CAL <br /> <br />$ <br /> <br />d <br />/ Jf O~, 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[] ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANI~* * * * *** * ** *.* * * * * * * * * * * * * * ** ** * * ** * ~~~;:;*** * ** **** *************** <br /> <br /> <br />STATE CERT OR REGIST # <br />SIGNATUR CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />. <br />