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<br />1'1'! <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED /0/;/10;- <br />f <br />PLANS lUWIEW FEE <br /> <br />:E::R::E &~~:- t:r <br /> <br />LEGAL DESCRIPTION, LOT (S I -. BLOCK <br /> <br />PHONE <br /> <br />7~-bd5( <br /> <br />SUBDIVISION <br /> <br />0fvt/- &u <br /> <br />PARCEL ID # <br /> <br /> <br />WORK PROPSED: DNEW CONSTRUCT ON <br /> <br />Os I GN I <br /> <br /> <br />PROPOSED USE, ~SGL FAMILY DWfLLING <br /> <br />COMMERCIAL i <br /> <br />BUILDING SIZE <br /> <br /> <br />~ ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br />& HEALTH APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <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 />$ r;oSU <br /> <br />PERMITS REQUESTED <br /> <br />)lI BUILDING <br />~ ELECTRICAL <br />"1- PLUMBING <br />1 MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />I <br /> <br />lAMP <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALT <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o E'RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SI.GNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~1 C~-J 5!ecf;;-tc. <br />STATE CERT OR REGIST # I5"C t)(J() ~ <br />CITY PROCESSING # !cflt <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />************************************************* <br /> <br />COMPANY at"" ~1Ll f>~7l(~ <br />STATE CERT OR R GIST # ~ JY~&1.513 <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* **** ** * ** *** * ** ***** ** ******* ~***** * ~,****** ** <br />COMPANY '1~'~ <br />STATE CERT OR REGIST # ~/I1MJe4-61 <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**************** <br /> <br />************************************************ <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**************** <br /> <br />i <br />~*********************************************** <br />