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<br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8tli STREBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED <br />PLANS REVIBW FBB <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT <br /> <br />JOB SITE ADDRESS <br /> <br />u.-a \./ /? .?- <br />/ <br /> <br />BLOCK cJ ~?-'V <br /> <br />SUBDIVISION <br /> <br />~~ -fl?- A:~ ~. <br />/ . " <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br /><] <br /> <br />?-t:" <br /> <br /><21 <br /> <br />&//?o <br /> <br />Ot'?c.t:o (OBTAIN FROM PROPERTY TAX NOTICEl <br />O:>5Z) <br />o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />8"1IDDITION <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />G3-mBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 7 C:A--P<tJh r?1~~ <br />BUILDING SIZE / /) 'f./6 SQUARE FOOTAGE /.6' 0 <br /> <br />HEIGHT f? <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2l PLOT PLANS & (2) SETS OF BUILDING PLANS & (ll SET ENERGY FORMS. <br />ATTACH (3l SETS OF BUILDING PLANS & (ll SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />?-?~ <br /> <br />~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />o NO <br /> <br />BUILDBR <br />SIGNATURE ~ Jl ~ <br /> <br />COMPANY 4-t.-~ ~A( C~ A-LtyhY/I ~ <br />STATE CERT OR REGIST # )" t:. L~" 2 6'~> <br />CITY PROCESSING # ! j'~ )'? <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />