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<br />APPLICATION FOR PERHIT/j~tt..<i3: r::'i-.. \e.D <br />CITY OF ZEPHYRHILLS r ~ (I'" r~' / i <br />BUILDING DEPARTMENT ~ DATE RECEIVED - <g -I) <br />PLANS REVIEW FEE <br /> <br />YOWNER'S NAME /1 f( T l..ji-J ~ <br />)/JOB ADDRESS...~,;L 49 13'1Yv,A/ g;P1 Cfr <br /> <br />I.. . 06,(J.A.,I <br />S' r~ €E. T, <br /> <br />PHONE 5/~ . 7t9u-1 / '73 <br />'2e Pff;Ytf .I'/-IL-l-S', pi1 3 J,rif I <br /> <br />, <br /> <br /> <br />SUBDIVISION ~~ ~~ <br />(OBTAIN FROM;: . TICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/- DESCRIPTION OF WORK L i..v $ J! / IV ^ W,tJ J.. L S u.IV C-A Il pI.J 117 <br /> <br /> <br />m () v/J6 5'11 EJJ (..)1&() <br />vER51t?J;) ;:g~ <br /> <br />HEI GHT /Iff/!/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />it BUILDING $ }(1~~ <br />):t ELECTRI~~ <br />[J PLUMBING <br /> <br />PERMITS REQUESTED <br />e <br />o D~)() VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE -Y <br /> <br />~~~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* ** * ** ****.* HH H* H H *H H *H H H H * HH H *0. ***** ** ** ** ** *** * * * <br /> <br /> <br />ELECTRICIAN ~ ~ COMPANY 1.J7t/AJ <br />. . ;r: ~ STATE CERT OR REGIST # <br />SIGNATURE ;\ CITY PROCESSING # <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 />