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<br />APPLICATION FOR PElUfiT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />, . <br /> <br />:J /1(/00 " <br />DATE RECEIVED - -- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME E;A r,j ~ of AJ.I\.-Ef LeA <br />JOB ADDRESS 5 C 3.2. G AU... BeJ 0 <br /> <br />PHONE 3 (tot C( cc L( I .3 G <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />J2f SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />J2fCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Er EJ fO k s \ <:5...) ~ '6 -g ) 6 ",:.~c -t +Wd NON" \ \.l \J ~ kJ,o ~ \ s \Civ::) <br />SQUARE FOOT:GE t (;' ( ,~ HEIGHT '3 S /' <br /> <br />DESCRIPTION OF WORK <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 />~UILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br />$ 2. U c::: d cr-Q <br />~~ VALUATION OF TOTAL CONSTRUCTION <br />C' 'fJ sf! }oJ (:;.. AMP SERVICE 0 FLORIDA POWER 0 <br /> <br />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 />o 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 />~::~~ <br /> <br />~_. <br />f.... <br /> <br />COMPANylJ..)E..-sl CEN'rRA)G$(c..::,...) S <br />STATE CERT OR REGIST E.s CX-..:> '2'--' <br />CITY <br /> <br />BUILDER <br /> <br />************************************** <br /> <br />~R'1*:*t~~*;*~~Q*** <br /> <br />SIGNATURE <br /> <br />c.:':::;-3~_____,...~.~< 'c ' <br /> <br />COMPANY ( ~ csT cC-:..-..T"(-.r<.P t./ S' (CA-./ .5 <br />STATE CERT OR REGIST # ~ c: ~ c-'c::> oC) ,?, / <br />CITY PROCESSING # /7/ S- <br /> <br />ELECTRICIAN <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 />***************************************************************** <br />