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<br />CITY OFZEPHYRHILLS PERMIT APPLICATION \ 1~\\eJ (;(ZZ(1)( <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 3354~ . <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME _I R L F. ct- <br />JOB SITE ADDRESS lfg 5 3 <br /> <br />'M A A.J <br />IIT"'- <br /> <br />L. <br />S/, <br /> <br />CR.ooK- <br /> <br />PHONE CONTACT 7 g 8 - 3 3 if ~ <br />7 g () - 6 '11ft lu.~~t:. <br /> <br />PARCEL ID # <br /> <br />BLOCK d I SUBDIVISION <br />/06 - 00/0 <br />/if ;}'(,,-.J. J -60/0 _O~ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~oD((E6 Ad <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION l1JADDITION o ALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: 9\SGL FAMILY DWELLING DMULTI - FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br /> D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK A~~ fop-e-h. wI 31'-'.55 <br />BUILDING SIZE Id. Y. ~() SQUARE FOOTAGE 3bo HEIGHT 7 - 7/~ fr. <br /> , <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 />~ BUILDING <br />~~LECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br />~,ooo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />fiQ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <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 />I:Q/OTHER 1/ J u fI'l, tv u W\.. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES )4" NO <br /> <br /> <br />BUILDER <br /> <br />""" <br />~ < '.. <br /> <br />..~ '!./~ <br />, {. <br />(___r;-r/ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.' ~ <br /> <br />rv; ii1-1;1 <br /> <br />**(~************************************************************** <br /> <br />ELECTRICIAN <br />" ~ <br />, - /)'? " . <br />I / L." ?i' <br /> <br />" <br />'. ~....".." <br /> <br />/T ~'" <br />/ C;0' <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />/:;:>- . <br /> <br />..,"". <br />/ <br /> <br />*****~*W********************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />