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<br />APPLICATIOH i'OR PEHMI'f <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME !fa 6ERT f-l 8EH JA-n't~,.y <br />JOB ADDRESS 5'/0.2. 32;( Sr~Ed' <br />LEGAL DESCRIPTION: LOT (S) ~ I ..,. ~.)... <br />PARCEL ID # II ~ b -Z/ (;;0/0 oS"6oo <br /> <br />PHONE 7/">- Y't:?S-Y <br />2tF~I'Yf';fH~~L.J" pG <br />, <br /> <br />BLOCK j)-b <br /> <br />SUBDIVISION <br /> <br />o :l. /0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR j1(INSTALL <br /> Os I GN o MOVE 0 DEMOLISH h-~cE <br />PROPOSED USE: lZ'SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />/" ( (?' <br />? r. JC{CY <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(2501 ) <br /> <br />F~ (.(' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 /> <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 /> <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 CONSTRUC'rION: 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 AREAO YES <br /> <br />o NO <br /> <br /> <br />......pq~t=~~..~:s~~~.... <br /> <br /> <br /> <br />""- "'- <br />'-".. <br />- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**************************************************************~*** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********.***~*************************************************** <br /> <br />MECHMtICAL <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 />