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<br />APPLICATION FOR PElUaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />t/ tJ / f r7 ( -(' <br />}7r~ oS r(//~ <br /> <br />p// /' /; () /' <br />W 0 GJ /,>j/ -r L- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE 779-01} Y <br />1 f;('?/Z v/ /,/I/~, <br />(I ' <br />SUBDIVISION <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br />/ <br />[JALTERATION ffi1lEPAIR [J INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />o MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br />(A~/7/7.e U(/f <br />/ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />;J t/ l ;::u;, '1/?' <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 />[J fRJII:.WUG"" <br /> <br />$ <br /> <br />~/ <br /> <br />?,~ERMITS REQUESTED <br />lfJ ~ - VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />o PLUMBING <br />~CHAN~CAL <br /> <br />$ <br /> <br />II Lf Sf? <br /> <br />J <br /> <br />//0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[J 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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />* ** * **** * * *.*** *** ** ** ** * ****** ** **** * *** ** *,* ***** **** ** t ** ** J;_-IJ** * <br />MECHANICAL COMPANY ,&' "" ) :1;'-('"(1/1.7'17'-1 -~- <br /> <br />/ i!: ;!iJu STATE CERT OR REGIST #' ,,~ <br />SIGNATURE ~~/l 5, . ~. ~ITY PROCESSING #4 ;;2 3./ <br /> <br /> <br />** ************************************************************** <br /> <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************~.******** <br />