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<br />APPLICATION FOR PEmaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 1- t:. -/? / <br />f <br />PLANS REVIEW FEE --. <br /> <br />JOB ADDRESS <br /> <br />uJl [{ I ;4 WI- t+14 1 / <br />3 S- /:'3 if? ~1fZ ( cI CJ + L I4-n -E:. <br />. <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />'2-c.f-Z(#- Z 1- 00'0 -00000 -2..1cro <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-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 />BUILDING SIZE <br /> <br /> <br />SCt12 e~ ~ <br /> <br />, <br />?1rO ~t+ <br /> <br />HEIGHT <br /> <br />/0 I' <br /> <br />DESCRIPTION OF <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 />~LDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />'I'~ 8"1 ro <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 />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />INSTALLATION 1 s:J 1;; <br /> <br />11{/ <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 />0::0 <br />IN F7 ZON~ AREAO <br /> <br />YES <br /> <br />o NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />!':+;,;+;,;';';+;';';';'H.;+;';~'!';' <br />i:i:!;f.i:i:P;i:~i;i.:i;i:!:!:!:!:!:i:!:i;;;!: <br />.........................-_. . <br /> <br />................-.......... <br />m................................................. <br />..,......:.;.;.:.:.:.,.t.:.:.:.:.:.:.... <br /> <br />.....,..,...........,.. <br />:-:": :'.':':-.':-":':~-:-,~.:-,., :., <br />. ... -- .. <br /> <br />........,........................ <br />................. <br />................................. <br />. . . . . . . . . . . .. ... <br /> <br />SIGNATURE <br /> <br />t:d ~ -p <br /> <br />COMPANY p!~ Z #k~I"AVJ'lA <br />STATE CERT OR REGIST # A.x &d.r6.1'?O , <br />~=~~~R~~~~.~ING # ~8- ~-r ;;'2.J91 <br /> <br />BUILDER <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 />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 />