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<br />I ' <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWNEW S NAME :rOS+ ~r ~1\10i1-{DW <br />JOB ADDRESS ~<;5 (, <;:; '" 31- Z<fkrrk; \h \ Ft <br />LEGAL DESCRIPTION, LOTIS) ~CL:kD BLOCK~~_ <br />PARCEL ID # l\~dG-..2.,\ -DO' 0 - 0(-<S<06 -<:::>\ 9 (') <br /> <br />- <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAG <br />~e -roo-{ <br /> <br />o ADDITION OALTERATION ~EPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI - FAMIL Y o It OF UNITS o MOBILE He <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(ORTATN PROM P8QPERTY TAX NOTTCPJ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />Os I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />-=> <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, (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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ il} lJ{){).1J:) _ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <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 />o GAs MROOFING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 0 NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST 11 <br />CITY PROCESSING ~ <br /> <br />SIGNATURE <br /> <br />PL tJMB.ER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY <br />STATE CERT OR REGI ST II <br />CITY PROCESSING ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />***************************************************************** <br /> <br />COMPANY h~(7 'l r nn5/Yu (1/)00+ /nc . <br />STATE CERT OR REGIST 11 r (l('. ~ L701,"7;"'f/)") <br /> <br />CTTY PPnr~aaTU~ n <br />