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<br />, . <br /> <br />APPLICATION FOR PBRYIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />, ... <br /> <br />DATE UCEIVED <br />PLANS REVIEW I'D <br /> <br />OWNER'S NAME bL!-/ ../l J1fJ4r J'f h h I1J 3 ~ <br />JOB ADDRESS :J '7 / d-.. ~ Ii ~ ~ Q <br /> <br />PHONE <br /> <br />7gtf-b(~& <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE I <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c;z Y{J>J <br /> <br />~/c C )~-J9 Cfh/ <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 />$ <br /> <br />.5 "6' Su_ cr D <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 0 NO <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN . / C <br />SIGNATURE ,i\-cc~e .~ ~~(Jct"L~ <br /> <br />COMPANy/c<~ j ,LA (/ (r/,HV',o!f L { El Ec7/l t'C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ()? c?-, <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE " t--' <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~* * * * * * * * ~ * * * if * ~* <br />COMPANY: IN~ c......~/'r <br /> <br />STATE C~RT OR GIST # <br /> <br />CITY PROCESSING # / R ~ <br />- <br /> <br />YBCHANlCAL <br /> <br />***************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />