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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVBD <br />PLANS RBVIBW PBB <br /> <br />OWNER'S N~ ]2ot3t(LI P~L-L[TI f:(L <br />JOB SITE ADDRESS "'I74 3~ N6JJ(OtVl <br /> <br />PHONE CONTACT '7 f z - I Cfc <( <br /> <br />nVB <br /> <br />LoT I 3 9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />UIJ/VI/ POll. ( c: ~ r/ <br /> <br />BLOCK <br />o 21lYO - (1<; c:> <br />PARCEL ID # 34- _ 2-5 -?- (- OtJ I 0 - 11 " I ~ IS 0 I ~ ~1' (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR GrfNSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />GtMOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />m{)~ IL(; [J /);vlr- ~ ~ r V{J <br />SQUARE FOOTAGE j 53 I <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />~ILDING $ & Zoo ,d) <br />BELECTRICAL J1;& ",0 <br />~LUMBING <br />UYMECHANICAL $ lRaJ ,rIO <br />o GAS o ROOFING o SPECIALTY <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />. <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 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~IJI~ <br /> <br />COMPANy-f>U/161lt::1 r;f--V l11og/t-C f-.)OM;; Sfl:~I//lf <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDBR <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />g~4,W <br /> <br />COMPANY Il(;~ (:WnZIC <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~JrW <br /> <br />COMPANY TJU-rT(JL-FlbU) Mlf/;I!.-6 [k;iY1? ~rflvlc~> I~. <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />MBCRANICAL <br />SIGNATURE _~ <br /> <br />****************************************************************** <br /> <br />COMPANY Act!" #(fl {DAltl ' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />11, fl/ JJi! <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />