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<br />(At I ,~,I,;.., rM) <br /> <br />/ \ <br /> <br />0!!:!)) <br /> <br />APPLICAnON FOR PEBMI~ \ 0-- t <br />CITY 01' ZEPHYRHILLS ~ I O~ . <br />BUILDr~'lG DEPARTMENT \~~~lTE RECEIVED ",2/- aO <br />trY PLANS REVIEW FEE <br /> <br /> <br />113 Z<,; 5J <br />J7'bo <br /> <br />OWNER'S NAME <br /> <br /> <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />BLOCK O()ooo <br />3 'l..-~ L-f. Dl~) CVoDO ('j.d')() <br /> <br />~W CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX,NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE~GL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~c:J RESTAUjT & H~H DEPARTMENT APPROVAL <br /> <br />l-e.1ivv\ f?L t=b1"A ~ A <br /> <br />SQUARE FOOTAGE t.1/) '677 <br />t;::~ . <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 />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING <br /> <br />$-&() 006 <br />'2 -,r ~ <br />L OV' AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />'-q- ELECTRICAL <br /> <br />SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />'If PLUMBING <br />~d' 00 <br />9' MECHANICAL $ C,J=/;;:J- <br />D GAS fROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />~RAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES J('" NO <br /> <br /> <br />BUILDER <br /> <br />~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTlUCIAN ~ .Q& <br />SIGNATURE . ~ ~ <br /> <br />'D\' -i_' :-f-tL <br />COMPANY i) 0 h,~ I;:-~VqJ'2tZ~~ . <br />STATE CERT OR REGIST # fa.. -LU:.:Q 5<0(:." <br />CITY PROCESSING # IJ7~ <br /> <br />PLUMBER Q* * * * * * * * * * * ** * * *~* ** * *~* H H * *** * H * :::::: * H ~;*~:; * *~ *~i~ :~~~ Mb,~ <br /> <br />. . / or STATE CERT OR REGIST # .F: 0 2 ./':C) <br />SIGNATURE .~ --ii::..-- 12. CITY PROCESSING # j ~l. u <br />V' '" <br />***********.*********** ** ********** ****** ** ************** *l'':.t*''''***tt 5 J , <br />MECHANICAL ~ COMPANY Ut+lli I ~ jjl (l. (/Jt~ <br />n fill STATE CERT OR REGIST # ~ <br />SIGNATURE . ~ ~ J1J~ CITY PROCESSING # ~ ~ <br /> <br />***** *********************************************************** <br /> <br /> <br />COMPANY \!fTil <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />o ..-1 <br /> <br />l <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />********************************************************~-******** <br />