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<br />APPLICATION FOR PEmaT <br />CITY or ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />/J7 ~ .A? t/' 1/ /1/ <br />/' <br />3~:33,2 <br /> <br />('.4 S-e <br />L3, AtI~ <br /> <br />PHONE tJ/~) 712- S-g 60 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />~~;':>C~~~ d-.J b -:JJ - 0010 - ",3..PQ - '" 010 (9B~lHNc_~~;"~t'" ~2"~' <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION c' 0 REPAIR Ilf'INST~~ <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 DEPARTMENT APPROVAL <br /> <br />SA r') <br /> <br />BUILDING SIZE <br /> <br />...2oX30 <br /> <br />SQUARE FOOTAGE <br /> <br />!,co <br /> <br />HEIGHT <br /> <br />/1 ' <br />. <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 />'BUILDING a!J <br />$ ;2/{6.:J - <br />0 ELECTRICAL .tV"o /V ~ <br />0 PLUMBING #0 A/' <- <br />o MECHANICAL $ J1I~PV ~ <br />o GAS o ROOFING o SPECIALTY <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />~L <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~ <br /> <br /> <br />BUILDER COMPANY ~'/~J/tA~ ~ <br />. /D STATE CERT OR REGIST <br />SIGNATURE t/''o/~ (.~ CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />** *** ** * ***,* ******** **** *** * * * * * * ** **** ******* * ***** ** ** * ** ** ** *** <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 />