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<br />APPLICATION FOR _1 vllJ 1). <br />CITY or ZEPHYRHILLS ~-I \ . () . -~ ~-O f <br />BUILDING DEPARTMENT '7 D RECEIVED ~ L _ <br />PLANS REVIEW FEE -- <br /> <br />OWNER' SNAME /) ILL/14M <br />JOB ADDRESS 37fa3i <br /> <br />,f- L () If I( A- / JIG- <br />1'16ltVJ+l. A-V6- <br /> <br />)Jo6y <br /> <br />PHONE 9'1/ - l..j 13 .- 9'13 (., <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION -z.6fJ!Jvl< I< J 066- <br /> <br />BLOCK <br /> <br />PARCEL ID # 03-J~-JJ-0I30'-DOOOD -OY30 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] SIGN <br /> <br />C!r'ADDITION <br />[] MOVE <br /> <br />[]ALTERATION <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCI~ <br /> <br />[]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />5#60 ,Sf7fi/65'(' Ii',OW\ <br />SQUARE FOOTAGE ~t,I.? SQ ~,- <br /> <br />HEIGHT <br /> <br />9" <br /> <br />BUILDING SIZE <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 /> <br />$ 1 '/tXJ. dd <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />COMPANY !'leG .4tl/f/"/#UI'I4 ,j- C()"uL J:Alc.. <br />STATE CERT OR REGIST # (!.l(to3vt,YD <br />CITY PROCESSING # .~~ <br /> <br />****************************************************************** <br /> <br />ELECTIUCIAN <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 11 <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 />