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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1/:u/ <br />DATE RECEIVED <br />PLANS UVIEW FEE <br /> <br />OWNER'S NAME V.U~,*, 1CNf f)" lokt <br />JOB ADDRESS~A~ t11~ l e- Dr- <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK 1:> <br />PARCEL 10 # ;'-2}-lo-A-I "'~"JfJ- ODt>rn - tXJ7D <br /> <br />PHONE '7E)lf3-~':;~7 <br />f <br /> <br />SUBDIVISION C; '\V(,f (PYi ~J~t1 ~k')- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE~GL FAMILY DWELLING OMULTI - FAMI L Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />9cOf) <:. f; <br /> <br />SQUARE FOOTAGE <br /> <br />~~ <if: <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION <br /> <br />PERMITS REQUESTED <br /> <br /> <br />(1) SET ENERGY FORMS. <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />W'R'E~.L{fo1 <br /> <br />f BUILDING <br />~ ELECTRICAL <br />tt PLUMBING <br />~ MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <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 AREAD YES ~ NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY F"jL S G C=-f A-. ~~ S' ~- /, <br />STATE CERT OR REGIST #F~ 600;;j/' c1 <br />CITY PROCESSING # / ~V.c. <br /> <br />PLUMBER <br /> <br />************************************************** <br /> <br /> <br />COMP ANy4;lb V ,jay tJptj t 1c/1'1/d ; '!! ~d C-- <br />STATE CERT ~ REGIST # CFC.J'/:lb J 1'3 <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />********"f****** <br />COMPANY C; /V 1/ <br />STATE CERT OR REGIST # O(J If t <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />