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<br />APPLICATION FOR PElWIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME W; \I~. E. Eva. \"- 5 <br />JOB ADDRESS 3835 L~ VC\.~ ~I v d <br />LEGAL DESCRIPTION: LOT(S) :3 ~ BLOCK <br />PARCEL ID # ~ J..f ...,:) Ia ~ 1- l) ,.,3, () , htJ()/'l1'l :3 ~ <br /> <br />PHONE <br /> <br />7R () - 25 i)o <br /> <br />SUBDIVISION M~j-<!''&.Lc OA-kS <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />[]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 />[] MOBILE HOME <br />[]OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~\J <br /> <br />Sd~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />L./68 <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 />/ <br />~ BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />(0 'If 000. (JO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br />cI PLUMBING <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />o MECHANICAL <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 Lls A- RV soJk-.. to <br />h , STATE CERT OR REGIST # R \J lOSS <br />SIGNATURE ~ CITY PROCESSING # I q k{..,~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PL~ COMPANY US,q ~V s k\ ( ~...s. <br />I. G\P. ^ I '\_ _~ 11 STATE CERT OR REGIST # RV /l)S<-<: A <br />SIGNATURE v-u Q~ ~ CITY PROCESSING # 1"1 '-I J-, <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 />