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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />9-~o-CJ() <br /> <br />OWNER' SNAME /Y}/J-J':,hAJ <br />JOB ADDRESS 3 ~ 600 <br /> <br />of-' L, LIi-. <br />fJ /' t'! 7Tit <br /> <br />1) u JL~.s <br /> <br />f'O"N& U <br /> <br />CeJI -197-I'-/Yts, <br />PHONE ~/3) 7 i'.).. - 7.J..;L I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 1.J~.l-S-.:J,J-OOlO-O~'irOO-CXJ26 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [iNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK AI ew <br />LJI_' v 1'1' <br />BUILDING SIZE :Z~ <! ~ Ml <br /> <br />(. C. <br /> <br />Hath e- <br />o <br /> <br />SQUARE FOOTAGE <br /> <br />31/:L <br /> <br />HEIGHT <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 />~ BUILDING <br />f)l' ELECTRICAL <br />j2g PLUMBING <br />~ MECHANICAL <br /> <br />PERMITS REQUESTED <br />$ <jJ 5') IJOu, I}(J VALUATION OF TOTAL CONSTRUCTION <br />)00 AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br /> <br />$ ~K{J().. 00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~ BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES W NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />/1 A STATE CERT OR REGI ST # <br />()oJ Afefl.- 77/tlAL4.' ,y,~ CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE (j rAJJ.Jeil-- "%~-;tt.. <br /> <br />~()~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />()WNei-- /J1a~ 'o1-A-- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />MECHANICAL <br />SIGNATURE OWi\J-e-t7-~~ ~~____ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />