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<br />APPLICATION j'OR PElWIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />c~o~ <br />VDATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME W 4- ~~~ ;t'.~E <br />JOB ADDRESS Lot t'-J f( bl E _ _ _ ~__ <br />LEGAL DESCRIPTION: LOT(S)~ BLOCK <br />PARCEL ID # '3-2lc-2./-6l ~-()fWV-~L" <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />PHONE{~/~)l] rpf- 35 J 0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBI LE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESTAURANT <br /> <br />DESCRIPTION OF WORK <br /> <br />0)6 )( L\ <t <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 />)Q BUILDING <br />~ELECTRICAL <br />)!' PLUMBING <br />'9c ME CHAN I CAL <br /> <br />PERMITS REQUESTED <br />') on <br />$ C>IL ?:JOD VALUATION OF TOTAL CONSTRUCTION <br />6(OD <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />~n <br /> <br />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: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />Qy' OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />SI&'l'URE l <br /> <br />,/5 <br /> <br />-~ <br /> <br />COMPANY <br />STATE CERT OR REGIS <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY C -+ fJ- }oRc!C(.n <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 3"- <br /> <br />~ <br /> <br />ELE~;reIId:f -~ <br />\..-! ~ ---- <br /> <br />---.... - <br /> <br />PLUMBER ***************~******************:::::::***;C:l~~****~**** 11 <br /> <br />~ "f -~ .~~:.~==~::> STATE CERT OR REGIST # ~ <br />SIGNATURE I_____ - -~ CITY PROCESSING # It) &' <br /> <br />HECJWlXCAL HH* H~ *H *H2** ** ***** ** ***~~~;:~ *?3i=PhrL2;:~* ***** ** <br /> <br />c- ~ ( STATE CERT OR REGIST # <br />SIGNATimt: --4 .~ CITY PROCESSING # I '1 <br />---...., <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />