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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/~ - g--lJb <br /> <br />DATE RECEIVED ff",A-- a~. <br />PLANS REVIEW FEE <br /> <br />~~?71 <br /> <br />OWNERIS NAME <br /> <br />lCtn [lVt4CS <br />(g;) IS- (fbhtJit 5*-fr~ br: <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />2 ).,t/I! <br />SUBDIVISION 5fvel'tkJ:S ~/ /a.v P( ~ <br /> <br />PHONE 7ee......(?;,S7 <br />, <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # ill -;:J-(g ~d-I-^"01(!)OOo'- M"O <br />M, - <50 '9-()- <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION <br /> <br />oSIGN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />C.J()I-\'S \DCn J \ a') \0% ') l..uo0(ld (lClL'P <br />SQUARE FOOTAGE ~~/~ <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />& (I) SET ENERGY FORMS. <br />FORMS. ~~ <br />p; D. I j~t 1 'f <br />Jf~ '.J <br />~oC- <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />.~ PLUMBING <br />~ MECHANICAL $ <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 AREAo YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATU <br /> <br /> <br />COMPANY <br />STATE CERT <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******************************************** <br /> <br /> <br />COMPANY r:/Z5 C C1/A 5' s;: E Icc~;- C. <br />STATE CERT OR REGI ST #E(~ {/ Q 6 ;Z .s- 7 d <br />CITY PROCESSING # / 5L& <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />/ <br /> <br /> <br />~/i{ ~ COMPANY <br />~ STATE CERT OR REGIST <br />________~ _~ CITY PROCESSING # <br /> <br />*** ******J(****************************** <br /> <br />VlL.. <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />