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<br />APPLICATION FOR PEma <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR'l'MEN'l' <br /> <br /> <br />OWNER'S NAME <br /> <br />fJA u ~ d Ii. m<-:/(e// <br /> <br />JOB ADDRESS <br /> <br /> <br />t'~' , <br />-- f I)' ee:-'-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /1 .)6 .).-1 DOlO CJ<l30o ()OYO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />he: w lit) in e. <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE /.3" 9' <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 /> <br />PERMITS REQUESTED <br /> <br />j --...... <br />~....-- <br /> <br />.../ <br /> <br />.fiBUILDING <br />~LECTRICAL <br />~PLUMBING <br />-~MECHANICAL <br /> <br />----- <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~ tJ Fn';t(~-; <br /> <br />-., - <br />COMPANY (. el~/i7r- /fiL(e.1.,Il-''{/tYl l.J.I';y2f'; .l--J'VL <br />STATE CERT OR REGIST # ,f1l/lC)/L3.Jff- <br />CITY PROCESSING # ~ I / <br /> <br />****************************************************************** <br /> <br />&LBC'rRJ:CrAN ~ (l /J U <br />SIGNATURE t/' ~I..-- . ~ <br />, <br /> <br />COMPANY --PO~ GLh~L<....... if:. <br />STATE CERT OR REGIST # E/2- OD11 '7 ~ <br />CITY PROCESSING # 2.../0 <br /> <br />PLUMBER <br />SIGNATUR~~ J?.. \,U~ <br />'- <br /> <br />****************************************************************** <br /> <br />~) f:;LvJ}~' ~ [., W.'{(/,+pV- <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I g z..D <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * A * * * * * * * * * * * * * * * *1' ~ <br />COMPANY ( /V S t? C~ rf-r <br /> <br />. STATE CERT OR REGIST # C)O <) '1(2- <br /> <br />CITY PROCESSING # / .s:2 <br />, <br /> <br />MECHANICAL <br /> <br />******************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />