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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 813-788-6611 FAX: 813-788-1516 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />Si4;~?fP;;~1!L (k <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br /> <br />T BLOCK SUBDIVISION <br />PARCEL ID # /3 - ;:;~- /2/-0tJOO-oo.//)l) -OO!J-/(OR'T''ATN FROM PROPF.R'T'Y 'T'AX NO'T'Tr.F.) <br />WORK PROPSED: ONEW CONSTRUCTION ID ADDITION m'ALTERATION 0 REPAIR 0 INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL F'AMILY DWELLING <br />&fCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />g 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 />D RESTAURANT <br /> <br />(1530 ,/Bl/'~ IrJ <br /> <br />& HEALTH DEPARTMENT <br />G{i- 1e/CAr1\ q(\ <br /> <br />APPROVAL <br /> <br />/-fQ'j Q r <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 7s,dJO,{){j <br />(f) 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BUILDING <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Sooc)-.. ([) () <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 />FINISHED FLOOR ELEVATIONS (I () <br /> <br />~ FRAME 0 <br /> <br />'^ hwe.- (tr 5'1 IS <br />flocr <br /> <br />STEEL <br /> <br />POTHER <br /> <br />PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />kfNO <br /> <br />BUILDER - fl ~ ;1 . <br />SIGNATURE ~~ ~ <br />I <br /> <br />~'Op~.i(:t'.Q~JO. <br /> <br />COMPANY Grr ~tn./cff () () <br />STATE CERT OR REGIST # CGC ObOhl...fb <br />CITY PROCESSING # 1./"-11 &/ <br /> <br />~ .~cmICIAN QJ ~ Q <br />SIGNATURE J A J l... L-L <br /> <br />****************************************************************** <br /> <br /> <br />t\ COMPANY J({i\J L 0e c.lrt'C tt\c..... <br />VJ\jU STATE CERT OR REGIST # 'f.'(~. 00 10:> ~ Q <br />CITY PROCESSING # /n ~/"""" <br /> <br /> <br />****************************************************************** <br /> <br /> <br />PLtadBBR 6J. .. #.-A -HoP I ;~~~:N~E'!::RE:!:f-l[ <br /> <br />SIGNATURE 6tj41t(..~ {7; 7J ~ ~-1'!f'~/~ CITY PROCESSING # <br /> <br />MECBAN~H~***~H.****~H: HH'.**************~~~;~~~~v.t*\}:c;~t.~~***~\ C <br /> <br />."."- ~<, '" STATE CERT OR REGIST # ~ ~\..S:J ~ "\ ~<2> \ <br />SIGNATURE. .\ :~, '. ~.'\t~ CITY PROCESSING # 2'if..D ~ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />