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<br />APPLICATION FOR pgRMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ (}L(/! <br /> <br />DATE RECEIllED <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME C~(J+h~Cl H. Clo.~~. <br />JOB ADDRESS 3 8 J D5-- 5 -L~ A\I €.- _ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID If I \ . 210. '2 \ . 00\ O. \ cx:co . 02 Q1::) <br /> <br />SUBDIVISION <br /> <br />fOBTAIN FROM PRO~RTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[]COMMERCIAL <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />[]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBI LE HOME <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & IlEAl,TII DEPARTMENT APPROVAl, <br />~ e..r oaf <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 AU, NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$LP.5&;/. <br /> <br />00 <br /> <br />VAl,UATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.n.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MEClmNCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />~ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREJ\O YES <br /> <br />o NO <br /> <br /> <br />IJIlI1ImmiJIiII1IJilt!!HljlI1!i1] IjlrlllIi~ij l]jlJ11ml <br /> <br />BUILDER COMPANY SCha.per-g Do-h 0.g ~ nc.. . <br />{ STATE CERT OR REGIST It ~CB loLt <br />SIGNATURE If-~/1~J<.a pJl& CITY PROCESSING n 23:z. <br /> <br />********************************~***~***~*~********~*****~******** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING ft <br /> <br />SIGNATURE <br /> <br />**********************************~******************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY <br />STATE CERT OR REGIST ft <br />CITY PROCESSING ft <br /> <br />MECHANICAL <br /> <br />****************************~***********~*~**~******~***********~ <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING ft <br /> <br />SIGNATURE <br /> <br />***********~*********************************~*****~************* <br />