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<br />I r <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG DEPARTMENT <br /> <br />ItJ -3)-0::;- <br />DATE RECEIVED _ <br />PLANS REVIEW FEE <br /> <br />PARCEL ID # <br /> <br /> <br />JOB ADDRESS <br /> <br />PHONE c8l3 7/S- 7<09'3 <br /> <br />OWNER'S NAME <br /> <br />BLOCK f1 / C; <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW <br /> <br /> <br />PER~Y ~AX NOTTCF.l <br /> <br />Os I GN <br />PROPOSED USE: ~L FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION ,_ OALTERATION <br /> <br />rn"P:E PAl R <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />WELLING <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HaM] <br />o OTHER <br /> <br />:? <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />ATTACH (2) PL T PLANs & (2) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />ATTACH (3) SE S OF BUILDING PLANs & (1) SET ENERGY FORMS. <br />PROPERTY SUR Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />PERMITS REQUESTED <br /> <br />/{)~i <br />J <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />CI W.R.E.C.. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAs <br /> <br />~OFING <br /> <br />o SPECIAL Y <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOC <br /> <br />D FRAME <br /> <br />D 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 COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING it <br /> <br />**************** ***************************************'k********* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING l <br /> <br />SIGNATURE <br /> <br />PL~ COMPANY <br />STATE CERT OR REGIST #. <br />SIGNATURE CITY PROCESSING #_ <br /> <br />**************** ************************************************* <br /> <br />**********~***** *~*********************************************** <br />MECHANICAL COMPANY <br />STATE CERT OR REGIST it. <br />SIGNATURE CITY PROCESSING # <br /> <br />OTHER COMPANY h!j'n(1 'J r on5fru (l.7\fY), /rle. . <br />STATE CERT OR REGIST # .JrI ('I, ~ /.,~~,"7c"lt)5 <br /> <br />CITY PRnr~QQ?U~ li <br /> <br /> <br />**************** *********************************************** <br />