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<br />APPLICATION FOR PEmfiT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED I~ / P- - 0 / <br />PLANS REVIEW FEE <br /> <br />, <br /> <br />OWNER'S NAME C/et/l BCrtt/or <br />3'15 I ri1~ / I ;4{jh i f-e- <br /> <br />LEGAL DESCRIPTION: LOT(S) ;I~ BLOCK <br />C--;P1\RCELI~ # _..J~f- rtl?- 021-t)ol(o-bOOOO-O/tfg; <br /> <br />WORK PROPSED: ~CONSTRUCTION <br /> <br />JOB ADDRESS <br /> <br />PHONE <br /> <br />F;n e ('" 6/.'l,. <br /> <br />~;d~ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMOVE <br /> <br />D DEMOLI SH <br /> <br />DMULTI-FAMILY <br />DINDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />BUILDING SIZE <br /> <br />D <br />-<) / t:/ to <br />fbbL G <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />C!.df" /)6 r</ <br />I <br />SQUARE FOOTAGE <br /> <br />~ /2i-fP <br />yg{) I <br /> <br />HEIGHT <br /> <br />JtJl <br />I <br /> <br />DESCRIPTION OF WORK <br /> <br />tIlD <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 />CI ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />{}~ <br />7) ~~_ ' <br /> <br />o W.R.E.C. ~ <br /> <br />~{5 <br />rf /pJ <br />/1' <br />D OTHER /- <br />IN FLOOD ZO~EAO YES <br /> <br />D NO <br /> <br />. <br /> <br />~LDING <br /> <br />PERMITS REQUESTED <br />))/1)/, '-'C> <br /> <br />{ , <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />. <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *~. * * * * * * * * * * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />~ <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />