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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUI1DtNG DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWNER' S NAME~ \('h <br />JOB ADDRESS (~,C:Sn5 <br /> <br />-ill h1n~~f. <br />/.hI n'1i ~n D r:: <br /> <br />.PHONE <br /> <br />LEGAL DESCRIPTION' LOT IS) BLOCK SUBDIVISION <br />PARCEL 10 # 03 ~(n:;U -O)~n-O~~0:t3Q,AT~ PROM PROpeRTY TAX NO'PTCPJ <br /> <br />~ <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION ._ DALTERATION ~EPAIR o INSTALL <br /> I <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE :~GL FAMILY DWELLING DMULTI-FAMILY o II OF UNITS o MOBILE He <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~~crf <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH 12) PLOT PLANS, 12) SETs OF 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 />HEIGHT <br /> <br />o BUILDING <br /> <br />$ (J,( W{) <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 MECHANI CA1 <br /> <br />$ <br /> <br />o GAs ~OOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE ARE'AO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST 11 <br />CITY PROCESSING f~ <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING II <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING # ____ <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />OTHER ~: 9 <br />SIGNA'rURE . . 'J . ti:.t~~ <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING II <br /> <br />SIGNATURE <br /> <br />COMPANY h~(il VJ r nn5fru (l1)1YJ.-l )nc . <br />~ STATE CERT OR REGIST /I J1 (If. - Lla,~"'lt)5 <br /> <br />CTTY PRnr~~~TU~ u <br />