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<br />.,~ <br />f ~"j~~} <br />rr <br /> <br />APPLICATION rOR PElUaT <br />CITY or ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />( Cdf..tdl /1- .:20- C1/ /cfJ <br /> <br />DATE RECEIVED / / - / If-v / <br />PLANS lUWIEW FEE <br /> <br />OWNER'S NAME ':I~ h. ^-) <br />JOB ADDRESS 'Y I ;;1 ~- <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />G ~ <br />Ro/I/1lJ3 51- <br /> <br />PHONE 763 -- C]377 <br />PASCO PERM'; SERVICE <br />819 76B~14 <br />SUBDIVISION L0 int~r\5 PGtK""k <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:ltSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />a REPAIR <br /> <br />o INSTALL <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 />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />lA \( e d. () ( .u IQ ~ ~ C'" f ( A c.~ . P Cw <br />SQUARE FOOTAGE 31~ <br /> <br />? - <br />Kl)(\ l- <br /> <br />DESCRIPTION OF WORK <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 ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />~750./JO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 ~NO <br /> <br />Illlllllli!!I!limmi!I!!l!!!!mml!!III!!il!!lIIlllmmllmmmllll!I!II!imml!!!il!l!iliilllf - - - -... mmmmmmmmmmmmmmmm!!!lllill!lll!!llmll!lmli!!!I!lli!II!!I!1111!!!!!I!! <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBC'llUCIAR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************~*****~**~***************************************** <br />" <br /> <br />PLtJMBB:R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***********~~***************************************************** <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />HBCHAHICAL <br /> <br />***************************************************************** <br /> <br />0........ /fl.", hi l'pVh1 COMPANY 1:1'5 I)L(fM"~Z ; :1.*5..;'1 <br />/f.j () "I - STATE C~ET 0 . REGIST # AI) -(){)~"J.. <br />SIGNATURE ~. ,~v ., CITY PROCES L # 33 'I ..,. 33~S <br /> <br />***************************************** ***1****************** <br />