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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED -:r ~ (OU <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME_gA '-( <br />JOB ADDRESS 37 S41 <br /> <br />yvt /)ftIl, ( s <br />LA~{)(~ <br />'If <br /> <br />PHONE <br /> <br />AVE <br /> <br />LDT <br /> <br />7(' <br /> <br />SUBDIVISION ~() 116fu "2~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID #?;;tf-L~ - 7-( - ()()f D- (){'$OO- OO,?? <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />Iid'1NSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[J COMM:ERCIAL <br /> <br />[JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME <br />[J INDUSTRIAL [J SWIMM:ING POOL ~R <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL t2CA~T.4c H IIlJ./dlC tVvl"l <br />PA- ctAGr:.. <br /> <br />ALe..,. /V'l ( tV V M. <br /> <br />CJ <br />DESCRIPTION OF WORK PFA -r-rAGt.! <br />BUILDING SIZE J2x ~ i' <br /> <br />SQUARE FOOTAGE <br /> <br />f A<kA- ~f!' <br />0'1~ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br />~ECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER [J W.R.E.C. /.Utlli'2 Sfk:P <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />~ER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />SIGNATURE <br /> <br />~!J,~ <br /> <br />COMPANY '/Sf U CD/JSrflU(. T lo,J a:: CENltU4l- Fl.. <br />STATE CERT OR REGI ST # CBco 5?rJ r z... <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~A~W <br /> <br />COMPANY 1k1~ f!'LE c nU<:. <br />STATE CERT OR REGIST # <br />CITY PROCESSING #--1 r 7 <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 />