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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG DEPARTMENT <br /> <br />1/\/10<0 <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />~O\~~ <br />JOB ADDRESS 3,1'0 1'1 -t(S!O I. :,/ Ii. "','"_ <br />LEGAL DESCRIPTION: LOT(S) (;; /1.:lRJ BLOCK c; (t) <br />PARCEL ID # - 11- 1 ~ - ;)...1- (!') <!J 10.- (~)t; ()o(') _ {ll ;CJ <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />3 <br /> <br /> ONEW CONSTRUCTION / m1'N S TALL <br />WORK PROPSED: o ADDITION .'_ OALTERATION lB REPAIR <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI - FAMI L Y 0# OF UNITS o MOBILE HOM] <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(OR~ATN PROM PBQPF.R~Y ~AX NO~TCF.1 <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />_~C ~O'i <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANs & (2) SETS or BUILDING PLANs & (11 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 />$ lo~~O.OO <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 />D W.R.E.C., <br /> <br />o PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />o GAS <br /> <br />C\YROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />~LECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANy <br />STATE CERT OR REGIST # <br />CITY PROCESSING l <br /> <br />SIGNATURE <br /> <br />~LDM8ER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * ** * * *,* * ****** *** ******** * *** ************* ***** *** * ** * * **** * * <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />OTHER -h(-rrh n9 <br />SIGNATU~~~ <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />COMPANY h~a'1 ('r'TWu ('.7)fVJ, he.:.. <br />STATE CERT OR REGIST # t1 /lr" ,...., -, ~ _ <br />