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<br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br /> <br />OWNER'S NAME ~<1- ~ PHONE <br /> <br />JOB ADORESS &0 - -- - ~ f~ --A- ~l L <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />7~2.-J93D <br />, ~ <br /> <br />PARCEL ID # ~2."",.2.tf -2..1 ~ C)t &CJ--6Jt)! 00 -00'70 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />iJ...!NSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />DESCRIPTION OF <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL 0 OTHER _ / <br />",,~5/~yf../ <br />\) ~R~4A~~ & HEALTH DEPARTMEN:LP}ROVAL ,TTJlt-;J ~ <br />WOR~//y~ ~J(7... '1/(" t/1ar- Tu/G-o 71- <br />SQUARE FOOTAGE ;'. ..~ '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 & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />2sr2/. ~ 0 VALUATION <br />o SPECIALTY 0 OTHER <br /> <br />OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************************************;*******~:*******~ <br /> <br /> <br />ELECTRICIAN COMPAN" j)_AA1~ J)l..d.-"-'~ _' <br />~~ ~.A STATE ;;-~R"l.;IST # ~R I!JOfJ :.g~2-? <br />SIGNATUREL7)" r(l'./- - CITY PROCESSING # .2D~ <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************** <br /> <br /> <br />MECHANICAL <br /> <br />COMPAN <br />~ .~ STATE CERT OR EGIST # <br />.-~ CITY PROCESSING # <br />/ <br />*********** ***************************************************** <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCES$ING # <br />. ~ <br /> <br />*** H * H H H H ~ :H_' *** * H H * H* ** H*** H ** H ~:"'.,':'''''''''' " ", ~~.~ <br /> <br />r,.'I ~:1:' /:~ _ . ,:"'~,;-"''t.'"'i _ .~.,~~"'#y..,~ .'._ <br /> <br />SIGNATURE <br /> <br />.. i"f/ \, . :-1... tl ". : ...J....,. ~ <br /> <br />, ..- -,;. <br /> <br />..~ <br />