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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARnmNT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FD <br /> <br />OWNER'S NAME .....J 0~ k-SOr-J CO tL i{ () II <br />'? 6( '., I J' d:? 7 J+ .?) <br />JOB ADDRESS ~O !d V" C) - rh'--<. <br /> <br />PHONE /3/5;-779 -;)0 'lS- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />1 <br /> <br />BLOCK <br /> <br />J <br /> <br />---=--~ '- ~', . <br /> <br />SUBDivISION \ \k;C\,,-'J--'cJJ(/lil'S/e'\,____ <br /> <br />PARCEL 10 # C':.J- -,;;'G-J-I-005?o -0(1/00- C'>(l70 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DALTERATION D REPAIR D INSTALL <br />D DEMOLISH\Lc p I iJc..c/h'-~I"'\--\-- <br /> <br />Os I GN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION \OF~ORK <br />\u2 ,~..\ '-.; -<\ ,L '- \~ <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />0~i<<~ (' C~~, ~ 0"'+ ~-l <br /> <br />~"--., \-.\ \ D '"') ))i<-~ LLJ /-s r L0 <br />~ \ ~ I <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 />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION;OF TOTAL CONSTRUCTION <br /> <br />D ELEC'I'RICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER · D W.R.E.C. <br /> <br />D PLUMBING <br />~ MECHANICAL <br /> <br />$ ~l9 CJ <9 , ('5} <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MEC~CIAL INSTALLATION <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 AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * ** * * * * * *.* ** * * ** * ** * * * ** * ** ** ** * ** ** * * ** *rl[Y ~ ** **:1< **:1<..***", **'1'** <br />~ COMPANY"" l ',"'-ctv"'~ <br /> <br />~ -' STATE CERT OR REGIST # C~~{!) ~3 <br /> <br />CITY PROCESSING # <br /> <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />