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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 9/ ~ II OS~ <br />I I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~C rot0AL~~~ <br />JOB ADDRESS (POSCc GA\..L {S. LV\::) <br /> <br />PHONE <br /> <br />"?J35l.(-2.. ((PD'f2- ~~) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 03 - "2.(\0 - 2-~ ..... OO~ 0 ---\ \'3uO-(X)0() (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />~IGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />2- -M~v Bv-Mi)-s. <br />2.-- ~D "6;~.....s <br />SQUARE <br /> <br />Z - tal v6 ~V ()'rNtiV <br />I - t\A~oMA LO ~ <br />FOOTAGE <br /> <br />(,-. l-/GI 'HT i>cTli?i <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <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 />PERMITS REQUESTED <br /> <br />t-j 2.,. 9-4f- <br />-flY <br /><)~ <br />Sf j'M. ~)~r-.(J <br /> <br />o BUILDING <br /> <br />$ .1 z, OCQ,O~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />(;'(3) ~"Y <br /> <br />r; ;2 / - (I 6! M'/J.' <br />VALUATION OF MECHANCIAL INSTALLATION ~~ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <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 />/10 :--{J~^I <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />J[ CITY PROCESSING # <br /> <br />***********************~***~*~******************************* <br /> <br />';j, COMPANY ~ 12cEC...\'1( \ e.- <br /> <br />STATE CERT OR REGIST # ec... CCXJ""2--1 0 <0 <br />CITY PROCESSING # <br /> <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />~ STATE CERT OR REGIST # <br />~ .~ CITY PROCESSING # <br /> <br />****************~':l~*************************************** <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />COMPANY ~~ e;::-CEL-\"Q \ c... <br />STATE CERT OR REGIST # t;;;;Z.. 00() 2...J 0 (0 <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />,. JIll............"....<<..:,).f" <br />A ".I'",.j~... <br /> <br />:)-..~ <br /> <br />~ tof J,...., ..if'..~., ," " c"', ~ <br /> <br />~ q,~ <br /> <br />t;>,.","1 <br />~ ",.""M/..............Mlf...."....., ...., ,.,..~. <br />