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<br />'" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />7 hs-/Ilf <br /> <br />. <br /> <br />OWNER'S NAME tHo" G Kllck.~ <br />JOB ADDRESS ~ 5 __9 ~~ <br />LEGAL DESCRIPTION: LOT(S) ~'i <br />$'- 3i..c- .)- \ - t) .1'-:70 .~ 0 &ifJDQ ~ n J-to <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE'~~GL FAMILY DWELLING <br />COMMERCIAL <br /> <br /> <br /> <br />79fi,'-{y) ~7 <br />, <br /> <br />PARCEL ID # <br /> <br />(OBTAIN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />l{~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ~i <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~J'LDING <br />cY'~ECTRICAL <br />I:t" ;;;WMBING <br />if MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />1- FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REG <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************** <br /> <br /> <br />COMPANY nvff e.(C\.. 7'5 C/ C aSc." <- <br />STATE CERT OR REGIST # r;C OO()~::)5 7L; <br />CITY PROCESSING # <br /> <br />ELECTRIC <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />ja <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />SIGNATURE <br /> <br /> <br />*******************************~****~***** <br />COMPANY ~ 0 /t-, <br />STATE CERT OR REGIST # If II/! CIV l Y-LL ~ ( <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />