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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />, BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />'1- dd-DC) <br /> <br />OWNER'S NAME r//J I?~e J <br />JOB ADDRESS ~5'g.),9 ~"It; c ')1' I <br />LEGAL DESCRIPTION: LOT (S) ~, /,. :? BLOCK /:5 <br />PARCEL ID # // -;) C -;( 1- CtO/O - 0/.?Oo _ Ct""l~ ("'\ <br /> <br />PHONE 'JlS jSJ.. Ie; II <br /> <br /> DNEW CONSTRUCTION OALTERATION ,/ o INSTALL <br />WORK PROPSED: o ADDITION !3 REPAIR <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING OMULTI - FAMIL Y 0# OF UNITS o MOBILE HOM] <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />SUBDIVISION <br />IORTATN FRO: PROPERTY TAX NOTTCR) <br /> <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />t - /'0.1 <br />1 <br /> <br />BUILDING SIZE <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 />o BUILDING <br /> <br />$ 'floc. 6~ <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***********.******************************************************* <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />OTHER ~ ~ ~ <br />SIGNATUR .. --{.-;Y · ___.. <br /> <br />***************************************************************** <br /> <br />COMPANY M~{1 VJ r nn5fru (l.i)IY), /nc . <br />STATE CERT OR REGIST # ~..CI', ~ /.,=l~."7.~r')") <br />r'T'f1V nnf""\I""IMll""lr..........._ " <br />