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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED. U ~ 7~lJ f <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME IJ/(J/(Ht.- )'ELLi/ <br /> <br />JOB ADDRESS, t;8Jl~ EY'~ Sr ~ ZEI?1~YH/k~ , <br />, , <br /> <br />PHONE J't3 -7,p~.;./~H <br />YL / '5 :J~If~. <br /> <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION 7REC L,p/E Y;2uIG~ <br /> <br />PARCEL ID # l(}r,)6 - ~/- tkaOtJ - ao Ia? .-~ <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROt-SED: DNEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SlI <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />j;~ ,W'A7t ~46~c 7 R6et'~A/~_ <br /> <br />SQUARE E'OOTAGE 750~ ~ HEIGHT <br /> <br />~/ <br /> <br />BUILDING SIZE <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 />$ <br /> <br />PERMITS REQUESTED <br />3GCt:> ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />Ji1 ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />1)1 FRAME <br /> <br />o S'l'EEL <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />MECHANICAL COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />***********.******************************************************* <br /> <br />********************** ****************************************** <br /> <br />OTHER <br /> <br /> <br />~/RK C', .v~# <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />~,A1M- kJ~%:V6 ~ <br /># t!C ~ / .3.2~P ..is- <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />