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<br />APPLICATION FOR PBmrfIT <br />CITY OF ZEPBYRHILLS <br />BUJ:LDIHG DEPARTMIi:HT <br /> <br />DATE UCJ:IVBD <br />PLANS REVIEW I'D: <br /> <br />JOB ADDRESS <br /> <br />f(j)() <br />25>110 <br /> <br />,} Cl/C/! ;/L/t" <br />11fJ~~, <br /> <br />PHONE <br /> <br />7jJ,;z - 7~ 9s- <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID It <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <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 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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />:sJ7' <br />;;2... />V <br /> <br />dfc <br /> <br />c ~e;,./p <br /> <br />~ <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 />40 <br />$ :?,S;-?.5::- -- 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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELJ:CTlUCIAH <br />SIGNATURE \l~t~t'h'( CL~1. ~~{~ <br /> <br />COMPANY: 7\1 c. A MZ I.J CaI'l'VIJAoL C ...- L.,P-c:?./((::" <br />STATE CERT OR REGIST It <br />CITY PROCESSING It 07.;A, <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * * * * * *,*** * * ** * * * * * * ** * * * * * * * ** * ** * * ** *% * * * * * * * *(!:?~ :;::?* ~ .LJ <br />COMPANY '''''''~..... . F ~-7'- <br />STATE CERT OR EGIST It 00 ~--// ~ <br />CITY PROCESSING # / &.:2. <br /> <br />YBCBAHICAL <br /> <br />***************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />