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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-\ <br /> <br />f/'5J fro I <br />DATE RECEIVED - -- <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />fA M. r ^ 'SA Y ~O^tl.I#J6. <br /> <br />'CJ -23 Svn <br /> <br />f,OLt 6 T'( <br /> <br /> <br />lJ...f <br /> <br />vlC(k <br /> <br />OWNER'S NAME <br /> <br /> <br />venve 2-e <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />~ <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />XADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL ~THER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK PR.e:FA'BRJCATe~ t:;L. tt:>E12 <br />BUILDING SIZE (S';~ X <.8) K ). SQUARE FOOTAGE <br /> <br />~ro RA4€ 'BOIL j;)/~6 <br /> <br />tq7t. <br /> <br />HEIGHT <br /> <br />7 ff <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 />PERMITS REQUESTED <br /> <br />~BUILDING <br />o ELECTRICAL <br /> <br />$ <br />~f)ue <br /> <br />I D. ~6)O. () 0 <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />}JOJJ~ <br />$ 1J()1Jb <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 />.E('OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES .k[N0 <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY 7AMPA ~A'( ~()A~IIJ(;' <br />~ a ~ STATE CERT OR REGIST # <br />-- CITY PROCESSING # <br />, <br />*~~*~*~~~?J~~*7:~~~****************************************** <br /> <br />BUILDER <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 />* ** * * ******.** * ***** ** * ** *** *** * * ** * *** ** ***** ** * ** ** * *** * ** ******* <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 />