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<br />OWNER'S NAME J~z:O~ ot-fLo~dPl- <br /> <br />JOB SITE ADDRESS :3 650e "A" Ave <br />,1. ~'l\Z. e <br />LEGAL DESCRIPTION: LOT (S) l2.. ~~~ \Lo <br /> <br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RBCBIVED <br />PLANS REVIEW FEB <br /> <br />PHONE CONTACT CR \ ~ ) 4~- :2.2.10 <br /> <br />Sj;)!d/ <br /> <br />BLOCK <br /> <br />\(' <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />o ALTERATION 0 REPAIR ~INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~c;;,,--JA.u" l \ '\ &,)~"Tht-1 A/r. s.'1 ~ p...~ -pen., ~ p..~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />o BUILDING <br />rt ELECTRICAL <br /> <br />$ <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 />o PLUMBING <br />rlMECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />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 />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTR'C'~ ~ <br />SIGNATURE; '- j~ . ~ <br /> <br />~' <br />COMPANY vO.<',--#E~,J <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I <? '-I ( <br /> <br />?:e-C77!'t: 0;-- 7A-.,tdJ,1- <br />CeOOc.l l' <-/0 S <br />O,Y, <br /> <br />****************************************************************** <br /> <br />PLDHBER <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************************************************************1***** <br />MECHANICAL . COMPANY .::JAC~ SC'l'~ ~ '"7' fi./c.. <br />~ STATE eBRT OR RBG'ST # CA<:oO <br />SIGNATURE CITY PR NG # '~ <br /> <br />2 - 7- 00 <br />********************************* ********:l****************(* <br /> <br /> <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />