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<br />APPLICATION I'OR PElUaT <br />CITY 01' ZEPHYRHILLS <br />BUILDING DEPARTMBNT <br /> <br />C,J'M /;2 - S,(J I if <br /> <br />DATI: RECEIVBD /). - , - () I <br />PLANS RBVIBW I'J:J: <br /> <br />OWNER'S NAME~W lJt'rth <br />JOB ADDRESS .b~5 31 L-~.:z"'1 Loop <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />SUBDIVISION Sleepy l-f-.QllOLO M.H. <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />BLOCK <br /> <br />PARCEL ID # 0;1- ~/tJ- ;l/-IJ~loo- (}()()f){)-lI,;;"o <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[] SIGN <br />USE: pQ,SGL FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br />[J MOVE <br /> <br />~TERATION <br />[J DEMOLISH <br /> <br />[JREPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />DWELLING <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~ <br />, <br />BUILDING SIZE 10 X ~3 / <br /> <br />---- ----:-- -".. <br />---- <br /> <br />C-M~P e)l.ls.tl~ V(n'j\ Roo~ -tb~6 +' <br />Fra. ....... <br />SQUARE FOOTAGE ~ HEIGHT c:;,.e~ r14Ao.c. . <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />COMMERCIAL: 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 />r[i. ELECTRICAL <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ 1l,500.EP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J <br /> <br />W,R.E,C. <br /> <br />~~ <br />, ~() <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />tf FRAME <br /> <br />o STEEL <br /> <br />;I;-.ji7lL ~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br />mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmr 1~llllll!llllllll!!II!:I!mmm:mmmm:mmmmmmml!l\!I!!!il!1llll!l!llllllmmm <br /> <br />BUILDER COMPANY l3a..nr's Al J.U'\'\l"n&<.W\ of- t-+z..r-d&()(:1K'~ ,IH.C... <br /> <br />~.(VIO ltJ^"IIJ~ STATE CERT OR REGIST # <br />SIGNATURE , ""7 I <.NJ =uw I CITY PROCESSING ~ 1$ <br /> <br />*********** ***************************************~~********* <br /> <br />BLBC'l'IUC COMPANY &/~ <br />STATE CERT OR REGIST # R-' Or'Jo ::J_~-7d <br />CITY PROCESSING # /..yi;, . <br /> <br />. <br /> <br /> <br />****************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********~****************************************************** <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />HBCllANlCAL <br /> <br />***************************************************************** <br /> <br />OTBBR COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />************************* *************************************** <br />