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<br />I I <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />' BUI1D!NG DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME . .::r-o."U,,, ~I (') <br />JOB ADDRESS S q ,) I ~ ~ +1- AV<'_ Z "jJ t Y ~ l... /1< <br />LEGAL DESCRI PT I ON: LOT ( S)I ~ ~ I BLOCK <br />PARCEL ID # I ~ - J<(.-,JI .43\ 0 - C'XX'Y"f'\ -CXF:, )~ <br />WORK PROPSED: ONEW CONS~RUCTION. 0 ADDITION ,.' <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />(OR~ATN (ROM PRO~ER~Y ~AX NO~TCFJ <br />DALTERATION ~EPAIR 0 INSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE, ~GL FAMILf DWELLING OMULTI-FAMILY Olt OF UNITs <br />o COMMERCIA):. 0 INDUSTRIAL 0 SWIMMING POOL <br />:=; 9 RESTAURANT, HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~~) f <br /> <br />o MOBILE He <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) lLOT PLANs & (2) SETS OF BUILDING PLANs 6: (1) SET ENERGY FORMS. <br />ATTACH (3) ETS OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />PROPERTY SU VEy REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />I PERMITS REQUESTED <br />$ 5fl<i,p. (J() VALUATION OF TOTAL CDNSTRUCTION <br />-+-- AMp SERVICE 0 FLORIDA POWER 0 W. R. E. C. <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANI GAL $ i <br />I <br />o GAs ~OOFING 0 SPECIlfLTY <br />TYPE OF CONSTRUCTION, 0 BL1CK <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF MECHANCIAL INSTA1~LATION <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />Is PROJECT IN FLOOD ZONE MEAD YES <br /> <br />D NO <br /> <br />BUILDER COMPANY <br />STATE CERT OR REGIST II <br />SIGNATURE CITY PROCESSING ~ <br /> <br />~LECTRICIAN <br /> <br />.............. ................................................... <br /> <br />SIGNATURE <br /> <br />J <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING II <br /> <br />~LT1MBE.R <br /> <br />................,................................................. <br /> <br />I <br />..........~...t.................................................. <br />MECHANICAL COMPANY_ <br />STATE CERT OR REGIST 11_ <br />SIGNATURE CITY PROCESSING It <br />- <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING II ____ <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />............... ,................................................ <br /> <br />SIGNATURE ~ <br /> <br />~-~ <br /> <br />COMPANY 'Y.!5r'(7 '1 r.. QJJI-ru 0.1) 00, ) nc. . <br />STATE CERT OR REGIST II f' ('f, ~ /jd:7~"lrJ"') <br /> <br />CT~Y PPnr~aaTu~ il <br />