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<br />APPLICATION FOR ~l ~ ~~ <br />CITY OF ZEPHYRHILLS '3>rJ/f11 ~ .A;;_.,li')/ <br />BUILDING DEPARTMENT RECEIVED --.:2 -~ y <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />Concire, Inc. <br /> <br />(813) 783 8490 <br /> <br />PHONE <br /> <br />JOB ADDRESS 7246 Gall Blvd.. Zephyrhills. FI 33541 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # 35-25-21-0010-05600-000 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCF.1 <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DaALTERATION <br />~ DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />Interior Renovations <br /> <br />BUILDING SIZE <br /> <br />13X70 <br /> <br />SQUARE FOOTAGE <br /> <br />910 <br /> <br />HEIGHT n/ a <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y 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 />~ BUILDING $ 1800.00 VALUATION OF TOTAL CONSTRUCTION <br />rn ELECTRICAL 15'0 AMP SERVICE ~ FLORIDA POWER 0 U'B.~ <br /> . <br />0 PLUMBING r/JI 191~ <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION / 1/ <br /> / <br />o GAS o ROOFING o SPECIALTY 0 /ltJ <br /> OTHER <.."J. <br /> <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD <br /> <br />o NO <br /> <br />BUILD~ # <br /> <br /> <br />SIGNAT ..........~:.........*.*....*.***.*..*.**.********~~~*** <br /> <br /> <br />COMPANY First Class Electric <br />STATE CERT OR REGIST # 6r:J ~/'(::~/7 - <br />CITY PROCESSING # / ~~ ' <br /> <br />ELECTRIC <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />. <br />