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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPART.MENT 813-788-6611 FAX: 813-788-1516 ~ _ ~ ry-tJl <br />DATE RECEIVED p. <br />PLANS RBVIBW BE <br />q, ~ -7Z?z?-oD(9~ <br /> <br />JOB ADDRESS <br /> <br />R 0 16 e}--.f- G"ra-u e <br />3'8 '7 tf ( Q 0 4 tJ-I/, R4 <br />7?~ <br /> <br />5' <br /> <br />PHONE <br /> <br />~Lj E <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~ <br />PARCEL I . .0.:2 }l~ <br />WORK PROPSED: 0 NEW <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~l 00(0 0 5:0'p0{)()'ypOp / (()F.l'T'~TN F'R()M PR()PRR'T'Y 'T'~X N()'T'Tr.R) <br /> <br />CONSTRUCTION J8( AD~ITION DALTERATION 0 REPAIR 0 INSTALL <br />'I XIO/ <br />o MOVE <br /> <br />DSIGN <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK JVeuJ <br />/ / <br />BUILDING SIZE 1j)C/O <br /> <br />A Jd 0 AJ <br /> <br />SQUARE FOOTAGE <br /> <br />'If) <br /> <br />HEIGHT <br /> <br />'1/ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br /> <br />~:4~J <br /> <br />TOTAL CONSTRUCTION () J..-'?- <br />FLORIDA POWER 0 W.R.E.C. <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />;,~,~~ <br />~~'t::~,~~~ <br /> <br />BUILDER ~U~~ COMPANY <br />~ , S~TE CERT OR REGIST # <br />SIGNATURE V -; . A..tJLIJ4.A::ITY PROCESSING # <br /> <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********************************************************,~****** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />