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<br />APPLICATION FOR PElUUT <br />CITY or ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />DATE UCEIVED I / If /tJo <br />PLANS REVIEW I'D <br /> <br />OWNER'S NAME G/lAIv{) <br />JOB ADDRESS "31 (g Cf3 <br /> <br />f!tJl1l Z ojJ <br />tV Ft/KaM <br /> <br />fVJ . 1-/, P . <br />five. '-0'- <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />1St{. <br />SUBDIVISION {;!l#JAI~ fI~/lIZ6N <br /> <br />PARCEL ID # sif- 2t; - 2./- 0010- Df 500- 0 IS'! <br /> <br />(OBTAIN FROM PRQPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~IjER <br />HJ,u /11 (#(/M <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRI PTION OF WORK 5c/l&fAJ fl.-tJOlIA I (fff2.PlJlLl V -f2..oDIVl <br />, , <br />!;'7~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ 10. oao, 00 <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 />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[j}""OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />f1) is~ <br /> <br />COMPANyB t/f Ci)1J~1l2..u:.-r,cW or- C~lII(. pc. <br />STA'rE CERT OR REGIST # (' B~()srn ~ z.. <br />CITY PROCESSING # ~~ <br /> <br />BUILDER <br /> <br />*************~*************************~************************** <br /> <br />SIGNATURE <br /> <br />rLcS,-~ lC &cba\L <br /> <br />COMPANY He. e..- <br />STATE CERT OR REGIST # ~{ <br />CITY PROCESSING # t@7 <br /> <br />ELECTRICIAN <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 />****************************************************1.*********** <br />