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<br />APPLICATION FOR PElWIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE "RECEIVED \ ~ ffJ <br />PLANS REVIEW FEE . <br /> <br />OWNER'S NAME /)AS 4/' UA[( ) ~L / /lIe ;JA/~ L" PHON(/- /l/~ )g;J.~ Y1_5 c~ <br />! /'"r j, . Q ~/ /. ,- --....~ '1 ? <br />JOB ADDRESS 'J "ScJ.Lj - 5/. // f:;7/;L t//('/~/~c r ~t< ;;J=) S]/u <br />I , / ' <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # / ( 2( d-- ) 00/ {;; 0,2 Y c: C7 (/'30 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION []ADDITION B:AI..T ERAT I ON [] REPAIR [] INSTALL <br /> [] SIGN []MOVE [] DEMOLISH <br />PROPOSED USE: ~L FAMILY DWELLING []MULTI-FAMILY []# OF UNITS [] MOBILE HOME <br /> [] COMMERCIAL [] INDUSTRIAL [] SWIMMING POOL []OTHER <br /> <br />BUILDING SIZE <br /> <br />II y: / ~ <br /> <br />SQUARE FOOTAGE <br /> <br /> <br />S'C-\~~uJ 'to <br />'u\ss <br /> <br /> <br />t <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROV <br /> <br />DESCRIPTION OF WORK <br /> <br />(",U.'A(/7vc..-"-'5 <br /> <br />//y <br /> <br />'1C/1((/ <br />;g (7 <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 /> PERMITS REQUESTED <br />[] BUILDING $ :2 3 c; c; VALUATION OF TOTAL CONSTRUCTION <br />[] ELECTRICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. <br />[] PLUMBING <br />[] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS [] ROOFING [] SPECIALTY [] 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 /> <br />BUILDER /l '/ , ~ <br /> <br />SIGNATURE ~C~ <br />// <br />, . ****************************************************************** <br /> <br />COMPANY( L/JS'<-; Ie (C-'/'V '5/'/1&'- ,/<7/ L5 />V0' <br />STATE CERT OR REGIST # L. Ac.- C/<-)~: c<..;; '2 <br />CITY PROCESSING # (....:~ t./ '11 / <br /> <br />r /.' V'/ <br />1/ ELECTRICIAN ~ <br /> <br />SIGNATURE if ~~ <br />tI <br /> <br />COMPANY Ie. { t..ft-fLtJ C1uW{/lJ,t.?'-. ~('5~.T C:::1w7n_ <br />STATE CERT OR REGIST # / <br />CITY PROCESSING # d 72, V <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**** *** -!-.**+.*** * * * ** ***** k *** .k";'A .;.; ** * * ~ *****-;.. *** *********** ********* <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 />