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<br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />( ~ \ <br /> <br />APPLICATION FOR PEmaT'~n ~t~-e01; -1(00 '. <br />CITY OF ZEPHYRHILLS U:-" . \) r _ 'Z I ....... <br />BUILDING DEPARTYENT ,. DA IVED ~ -t.. . 0 U <br />S REVIEW I'EJl: <br /> <br />VtttJI ~ <br />'-17 '-f Y <br /> <br />~"/-I-r tAc-I-(~ <br />T INlber tAy <br />I 'i BLOCK <br /> <br />PHONE 7/ J. 7/e:. S- S" <br /> <br />SUBDIVISION (~U('.J... S;;u<<.r<.. <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # IS-2b-~I- bZllO_bOOOO. La~ 19 <br /> <br />WORK PROPSED: 9iNEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />o ALT ERAT I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK .$;k'j/L ~iJ, t/,Jt: /h~ <br />~ ,63 <br />/ Cj 3 C SQUARE FOOTAGE /9' ~ <br />. <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />DMULTI - FAMI L Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />HEIGHT <br /> <br />g'~ <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/5d/ <br />, <br /> <br />;<: FLORIDA POWER <br /> <br />o W.R.E,C. <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: V BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br />C;O('o'f.rC1- ,-,+7- <br /># <br /> <br />IG-", I P <br /> <br />IJpw ~ <br /># #' IZ - O.cJ.:.7 <br />(), fiv , <br /> <br />75- 7 J <br /> <br />COMPANY <br />. STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />****************************************** <br /> <br />COMPANY P d-.{". <i,.J 1/_ /,;". 'i <br />STATE CERT OR REGIST # ~.c- Oj~ d r <br />CITY PROCESSING # /2 / <br />., <br /> <br />**********~************************************** <br /> <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # aO<' <br /> <br />********* <br /> <br />***************************************** <br /> <br />c.....--. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />'" <br />