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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR~NT 813-788-6611 FAX: 813-788-1516 <br />DATE RECEIVED <br />PLANS RBVIBW nE <br /> <br />JOB ADDRESS <br /> <br />'/0 d c! <br />3 9 '3 Lf 5 <br /> <br />p/jJe > <br />, <br /> <br />PHONE <br /> <br />7'7'l- '35 c, L- <br /> <br />OWNER'S NAME <br /> <br />!; -:f:l, 4 u e.. , <br /> <br />2~fL1 >t.h,'ll s <br />BLOCK <br /> <br />f-f. <br />I <br /> <br />3J5'I( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />.__._--..__....,_..--..__._-~ <br /> <br />C~~RCEL I~/ <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br /> <br />SUBDIVISION <br /> <br />(ORT~TN FROM PROPF.RTV T~X NOTTrF.\ <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />8I"N"STALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Di OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />F-p V\ c..e.. IN S~ II C4f;oc-J <br />L..F c20 L/ I <br />[;QtJA!tJ!: FOOTAGE L <br /> <br />HEIGHT <br /> <br />b/ <br /> <br />DESCRIPTION OF WORK <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 />XBUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$V. <br /> <br />I to 90_ ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />:',;IBu'igl <br /> <br />COMPANY).......---.. LQI'1.(' e.>L. f~t/I c e- <br /> <br />STATE CERT OR REGIST i <br />CITY PROCESSING i 02~I/ <br /> <br />BUILDER <br />SIGNATURE ~~ A lZ~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING i <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />! ' <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING i <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********************************************************k******* <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING i <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING i <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />