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<br />APPLICATION FOR PE1WI <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR <br /> <br /> <br />/~ -/:2-0 U <br /> <br />JOB ADDRESS <br /> <br />CV/ JJA1 fI fu ~d ~ <br />.7~V 6/1// g~A <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW 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 DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />~~OMMERCIAL <br />CJ RESTAURANT & HEALTH DEPARTMENT ,PPROVAL <br />kr _r:jJ'pJt5S/o,v //C../ K-h*frJ <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />;Ie> LJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET EN~~'FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~:5D . <br />/, 0: Q r;: 0 O:!I-ROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION 0 i 1).:::;' f:1) ow' <br /> <br />/2A-"' ~ 00 ~Ml1/)/ <br />. ~ ~~:,ERMITS REQUESTED 'ffP" <br /> <br />o BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> <br />/ <br />/ <br /> <br />--------. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o rtROEOC(1Jl-' <br /> <br />: N jLuO---- <br />VALUATION OF MECHANCIAL INSTALLATtON / _ ~1:::1 <br /> <br />o OTHER (j ( :9 '3 "} d <br /> <br />/\ -----.... <br />IS PROJECT IN FLOOD ZON~~ 0 NO <br />I <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************.k**** **** <br /> <br />ELECTlUCIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************,k*** ***** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~************************************************ ****** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************** ****** <br /> <br />SIGNATURE <br /> <br />~ ~ COMPANYa/hme4C/"'J/ h-<tE &0 G <br />J::. STATE CERT OR REGIST # 39l/h3") 0002 & & <br />t. . CITY PROCESSING # #' ~ ') S / ,/ <br /> <br />***************************************************************~ <br /> <br />OTHER <br />