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<br />~\~~~\ <br /> <br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RBCEIVED 5-:2 9.. 0 I <br />PLANS REVIBW FBB~ <br /> <br />- <br /> <br />OWNER'S NAME TI;Jv-l t<. L"'v\.ec1.. <br />JOB SITE ADDRESS 5" fJ S .2- <br /> <br />f..):jJJL'r L-, el-9<....eo <br />(J.-~ ~T. <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT (S) if 4- { J-- <br /> <br />BLOCK ~ [I <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ,( - ;t~~). I - "(:)( 0 - 03 &"00 .- 6 {I 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: IINEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: .SGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVArCF-,(. / fT- -z. ~6 . -,- 0 <br />DESCRIPTION OF WORK U(w c:c, 5 .S" ;J4L.. . F~1I1' P...'i. 511:1 ~..vC L '3 ~ 7~ 1110.A.. I slim <br /> <br />BUILDING SIZE <br /> <br />A/' K 3~ L+ <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />Qf,f'3 <br /> <br />HEIGHT It. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 /> <br />$ <br /> <br />"3 '1 ? 00 . 0 0 <br /> <br />III ELECTRICAL <br /> <br />i 5'0 <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ~X.c. (1 ~ 1/1 <br /> <br /> <br />VALUATION OF MECHANCIAL INSTAL~~ ~1t1' II <br />~) <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />It PLUMBING <br /> <br />~ MECHANICAL <br /> <br />$ <br /> <br />3000 '00 <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: II BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />II NO <br /> <br />BUILDBR .\ ~l COMPANY "EBHU14 ('0,;><. (,JL' <br />~ 'i . ... STATE CERT OR REGIST # <br />SIGNAT . ! l. "7 CITY PROCE2mSI V~ I 17 <br />! . Or-If <br />\ . ******************************************** ********************* <br />\.../ <br /> <br />BLBCTRIC'!AN <br /> <br /> <br />COMPANY No. r1-1 ~ E../-t:cfrl'c:--, IAe- _ <br />STATE CERT OR REGIST #.f:.,/(Do/3t.fLf1 <br />CITY PROCESSING #. q7 <br />vr6/L <br />** ******************************************************** <br /> <br />COMPANY ~~~e'~(" Hv;.r?d'"/~~, /~ <br />STATE CERT OR REGIST # C/""COS""7cJB 7 <br />CITY PROCESSING iL 11/5' <br />vTVr {' <br />*************************************************************A****p _ ~ ~ <br />^ ~ . COMPANY -06 7H~ U6-, ~ ;;:.- J <br />/~ j. . STATE CERT OR REGIST # j{J11~(J I,)D"-...... <br />l '-""-- CITY PROC~G # ,......~ . <br /> <br />'********~*:**********************************C2~*~************ <br /> <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />'.:, "",.~:It **~.* *.,,:Ir.** *',*.*-It*.-it'* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *-..* * * * * ** * ** * *'.~ <br />