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<br />APPLICATION FOR PERNJ:T <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />@jV <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />....P . ,,//J / " <br />OWNER'S NAME ~~.A'.A'?.e~~ b..1'q"'::P'h7 ~ <br />JOB ADDRESS ...3 <g ~ / Jj c. 4 '1<:> AI uc '. <br />LEGAL DESCRIPTION: LOT(S) i./!oS"::L <br />/ 'f ~ ~ .:1. J to ~ 7,00 000 (J1J()8n <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />~JJ~ 6I/~ ,of V. ~ <br />ZE?I/Y~fl-/'.LL5 <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTATN FROM PROPERTY TAX NOTICE) <br /> <br />[J SIGN <br /> <br />Jig MOVE <br /> <br />[J ADDITION <br /> <br />[J INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />DESCRIPTION OF WORK fA~K Mod"FL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />SET- I/? <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT <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 /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~ELECTRICAL <br />'~LUMBING <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J <br /> <br />$ <br /> <br />[J FLORIDA POWER <br /> <br />W.R.E.C. <br /> <br />[J GAS <br /> <br />[J OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br />SIGNATUR~~;g_ /Ah~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE (j/ ~......~/~ ~ IA)".tJ-rt>-h--, <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE -~cY&l-Ct'ho _ ttJ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />