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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG. DEPARTMENT <br /> <br />d\i/O<o <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />~l'".\ \ne2 ~dCA/ <br />I <br /> <br />OWNER'S NAME . 1lA.~. i'-e <br />JOB ADDRE~-t UCJ;; IS! fl. if"", <br />LEGAL DESCRIPTION: LOT(S) lY:/c;:llJ BLOCK &V <br />P ARc EL I D # //- 1" - :J, 1- <D e:,', o. f?(i, ao(') _ {)I ;If' <br />, <br />o ADDITION._ OALTERATION <br /> <br />PHONE <br /> <br />SUBDIVISION <br />IORTATN FRO: PROPF.RTY TAX NOTTeRl <br /> <br />. 0 SIGN <br /> <br />lE'REPAIR <br /> <br />~NSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />~ <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 121 PLOT PLANs & (21 SETS OF BUILDING PLANs & 111 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 />$ ~l.o~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 />[I W.R.E.C.. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />GY'ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 MEAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST it <br />CITY PROCESSING l <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING it <br /> <br />SIGNATURE _ <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY <br />STATE CERT OR REGIST it <br />CITY PROCESSING it <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />OTEER ~ <br />SIGNATU __. ~)7 <br /> <br />***************************************************************** <br /> <br />---- <br /> <br />COMPANY J:i~(11r) (' (:05ffU (l.J)fY)i Jnc . <br />STATE rRQ~ nn ~~____ <br />