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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR'l'!O:NT <br /> <br />OWNER'S NAME t1? M/VIJ <br />JOB ADDRESS 37 iZ2, <br /> <br />!-Ivll ( ?tJ;J <br />Nfrlt~W\ <br /> <br />,IYJ . (.J f. <br />fivE. Lo, <br /> <br />g /1 </j~i) <br />DATE RECJl:rwD II 'I!.. <br />PLANS REVIEW FEE <br />PHONE~.'~?3 <br /> <br />3'7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # 3~ - '2--~ - 2.-( - 00 I 0 ~ 0/3 00 - 00'37 <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />SUBDIVISION eJ/2ItNiJ f-).O{LI Z DN <br /> <br />BLOCK <br /> <br />(OBTATN FROM PROPERTY TAX NOTTCEl <br /> <br />D SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION DALTERATION D REPAIR EtINSTALL <br />D MOVE D DEMOLISH <br />DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br />D INDUSTRIAL o SWIMMING POOL ~V,f'll Nil ""^' <br /> OTHER <br /> <br />D RESTAU~T & HEALTH ~ARTMENT AffROVAL <br />,2--><. 2.-0 {~) /4-1< z,,~ lOX I L Cf.l::9) <br />DESCRIPTION OF WORK .<;'rll..-l~OJ ll00flll, r:ldUD{l-T, (/ -[2.0f)//Vl.- <br />( , <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />7zt.( <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 />PERMITS REQUESTED <br /> <br />~ILDING <br />J'EiECTRICAL <br /> <br />$ r2--/7, ~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. wl(le 5t-fEj) <br /> <br />] PLUMBING <br />] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />] GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />SIGNATURE <br /> <br />~A.~ <br /> <br />COMPANY &if-l (b/<1<tJr/luc. rtofJ of CI~Il/11ZIIL U, <br />STATE CERT OR REGIST # C Be 0 5''7r'J f?'Z.- <br />CITY PROCESSING # Zln <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ f+: CUd() <br /> <br />COMPANY lice E" u c:. rtU c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * * * ** * *,** * * * **** * *** ******* ** * * * ** ** * **** * **** * *** * * * * * ** * * * * * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************************************'*** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />