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<br />APPLICATION FOR PEm4IT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPAR'1'MENT <br /> <br />- . - <br /> <br />DAft RECEIVED ~"'I D (" P <br />PLANS REVIEW I'EE <br /> <br />JOB ADDRESS <br /> <br />f?tL.? s <br />~ I .z.? <br /> <br />jJ.? 1ft <br />c;Q) v. <br /> <br />PHONE <br /> <br />?g3-7Y7Y <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH <br /> <br />~ /0v A/-C <br /> <br />DEPARTMENT APPROVAL <br /> <br />Cha~rz M- <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 />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 AREAO YES 0 NO <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDD <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN /J <br />SIGNATURE ,t::< (:N-e( C-rvh~ <br /> <br />COMPANY ~ ( tAft tJ e;z Mt/,() It- L-L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />t: L ~ <: T;f. Ie fl.L ,c.:,.-J.r 't. <br /> <br />(j 7'';< <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />0'.l'BER <br /> <br /> <br />**********~**********************************;r********~***~~ <br />COMPANY tJu~ CQ-v <br />STATE CERT OR RE 1ST # lJ-()..rY /'2- <br />CITY PROCESSING # /(~~ <br /> <br />MBCBANICAL <br /> <br />******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />