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<br />APPLICATION FOR PElUaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTNi:NT <br /> <br />DATE RECIi:J:VED <br />PLANS REVIEW'I'EE <br /> <br />JOB ADDRESS <br /> <br />eLl F ~o (\. ~ <br />3 '7 ~I C/ y--rJ-f <br /> <br />V, rv llV j PHONE ~l3"" 7 Fz.. [1 "11 '1 <br />flulC.- ZE-fl1YIZHuls fLI / <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE! <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />D ADDITION !ALTERATION D REPAIR D INSTALL <br />o MOVE o DEMOLI SH <br />OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT 1& HEALTH DEPARTMENT APPROVAL <br />R ~f L~e..~ <br /> <br />Hh:J4-T <br /> <br />t)v~ <br />I <br /> <br />.:5 vST~ <br />I' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS 1& (2) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />)qS-o 00 <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />;2. CJ S- 00.::J <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OGAS <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 D NO <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLmmER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />, COMPANY ..5cH.iT"H~.-v (1D..-..v;fa,....,... ~'k/\ r~c:-. <br />...I /J ().# #' STATE CERT OR REGIST # f{ m Dol 5""0<.... ~ <br />~ ~ CITY PROCESSING # 53 <br /> <br />********~****************************************************** <br /> <br />hlECHANICAL <br /> <br />OTHIi:R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />