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<br />APPLICATION FOR PElUfIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />fY) C, l <br /> <br />it 3L-J L1 q <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME \-\-ome..5\ \-e.. lx\J e\b~Y\t e Bet.L\ Esh-k. PHONE 8l:s)8-U.o -) <.034- <br />\C'\\les-\-m~ J \ no. . '. <br />JOB ADDRESS 38toOi>D ~DL.l=\-tI A01e.nu.e> 2-t:.pbft.hd\s) t=L 3.:SSLJ..Q <br />LEGAL DESCRIPTION: LOT(S) \6' ~ \ lc BLOCK Co SUBDIVISION m()l)'les Md.\+\~() <br />PARCEL ID # \4 ~~()' ~\- oo\(}..- ()rY t"Jl't:.'J~ ()\5 \ (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW.CONSTRUCTION [J ADDITION [JALTERATION gr REPAIR [J INSTALL <br /> [J SIGN [J MOVE [J DEMOLISH <br />PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME <br /> [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL ~ OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />5\tk\~\p Be - R()D-\2 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />;), DO <br />I <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 />[J BUILDING <br /> <br />PERMITS REQUESTED <br />$3) C)S4. YU_ VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE [J FLORIDA POWER [J W.R.E.C. <br /> <br />[J ELECTRICAL <br /> <br />[J PLUMBING <br />[J MECHANICAL <br />[J GAS 'fi(ROOFING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR R~i~ <br /> <br />SIGNATURE ... - ,.,. . . ff.4 <br /> <br />COMPANY rf\ \ \ my- C DrtS-tru (,;-\1 ()() <br /> <br />STATE CERT OR REGIST #CCCLCb \~ <br />CITY PROCESSING # cv \ ~ <br /> <br />*******..~*.***************************************************** <br />