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<br />APPLICATION FOR PElWIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'-.23-/6. <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAMEG rM\J ~ nR\"'lo~5 ~I<C!. ~~ PA~k <br />Y\J e (A kt> rv fl.\) E. I <br />}J~ <br />PARCEL ID # ~-d.5'-j, )-0016- 0 130 0 <br /> <br />PHONE ~ /3 - 'l fJ.- jf? ~ <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION G-ra""A #O{l.j20WS WI.!-/-. PI <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />~DITION <br /> <br />[]ALTERATION <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLI SH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />~BILE HOME <br />[]OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />CMpOR!- <br /> <br />l{-Room- R~HSED ScreeN t'(OOr7V- (!of\r!-re...~ <br />8 ~o <br /> <br />SQUARE FOOTAGE <br /> <br />. <br />;, ~ <br /> <br />. HEIGHT <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 />PERMITS REQUESTED <br /> <br />-$ BUILDING <br />$ ELECTRICAL <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />If) '7 ~q IO~ <br />1 <br />CC <br />150.- <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~ FLORIDA POWER <br /> <br />[] <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDER COMPANY <br />STATE CERT OR REGIST <br />SIGNATURE CITY PROCESSING <br /> <br />******************** ********************************************* <br /> <br />ELECTlUC~:H COMPAHy/la 1l..e!-1?obe.d ~rl/5 <br />4 STATE CERT OR REGIST # f(S 6tJn (}b / <br />SIGNATUR&,. CITY PROCESSING # I RI <br />" <br />****************************************************************** <br /> <br />/ <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********,******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />