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<br />APPLICATION FOR PElUaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED .I - )0'.:.- 0 I <br />PLANS REVIEW FEE <br /> <br />f OWNER'S NAME <br />-I JOB ADDRESS <br /> <br />fJ2( ((Jvt-\or2 ~ W i I ( ; Avl1 9- tJ ~ u "i12. (Vr<. PHONE <br />I <br />s;-,~ ;).0 ~ 'S fJ....Q <br /> <br />1Jf"?-;;J--5IZ <br /> <br />51 <br /> <br />"Z- <[ f) i~ Y I? l.An' l{ ~. <br />U <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />4 PARCELIp;Y, <br /> <br />I:;.... <br /> <br />^b <br /> <br />~/ <br /> <br />oor; 0 ooc> ~ (OBTAIN FROM PROPERTY TAX NOTICE) <br />00 ltJ <br />o ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />,.,." .,.r'-~ <br />WORK.:E'ROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL 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 />J DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />tA.~ f <br /> <br />J <br />LF <br /> <br />6-,07/-41 ; C <br /> <br />~Or::J <br /> <br />(>/ctL <if <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />;),,:3 tj-1~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o ME CHANT CAL <br /> <br />$ <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: 0 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 <br /> <br />o NO <br /> <br /> <br />#.b /~X' <br /> <br />YCOMPANY "')AAJ tJ A <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />ri:.;()c ~. Cei <br /># .3 S>6' 3~$ pAS CO <br />(3../J R6 <br /> <br />BUILDER <br /> <br />-t- SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <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 />