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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 7,/zS jfJS' <br />PLANS REVIEW FEE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />'fd~\f (],f'.( &(Ji,( <br />3'75 / J.... '1: c ~lT 5VYl i 1/ <br />(,e BLOCK ~ <br />OJ,'~O"iu--~1 - O~O .- txJF()O - CO{gD <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />PARCEL 10 #: <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE' ~GL FAMILY DWELLING <br />COMMERCIAL <br /> <br />SUBDIVISION ~\\f(I' tkk ~.. V <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O#: OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />I _/ <br />BUILDING SIZE .Ei2t: '!.. <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />I'\b> 4'-'Yt f"",,; 11 - ~,,-t.<. ~Jr~ <br /> <br />~'$l q-l/ SQUARE FOOTAGE 'Jd'i)' HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />if BUILDING <br />~ ELECTRICAL <br />"* PLUMBING <br />~ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 />COMPANY Vd\ll <br />STATE CERT OR RE 1ST <br />CITY PROCESSING # <br /> <br />* **************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY -r:"~ s ~ C (A S' '). E ( <br />STATE CERT OR REGIST #: f L QeD :2 5 7 C> <br />CITY PROCESSING # fiG <br /> <br />~ <br />* ******************************************** *** <br />J <br /> <br />ELECTRICI <br /> <br />PLUMBER <br />-- <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />c.- <br /> <br />SIGNATURE <br /> <br />*.* * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * ** *~ * *** * * * * * *'S ** <br />COMPANY ~O A--A---!.r <br />STATE CERT OR REGIST # 1/"". (;Ie If V. , J <br />CITY PROCESSING #: <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 />