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<br />CITY <br />BUILDING <br /> <br />OF ZEPHYRHILLS PERMIT APPLICATION <br />DEPAR~ 5335 8~ STREET ZEPHYRHILLS, PL 33540 <br />PhoneI813-780-0020 PaxI813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW PEE <br /> <br />6-/-V! <br /> <br />OWNER'S NAME -12t:d3J~/l T PfL-LfTl e f2 <br />JOB SITE ADDRESS ''3'7 i-rJo IVliu ['Q,Yl /1 V~ Lo T I 51 <br /> <br />PHONE CONTACT 7f'2- JOG i <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />0~ I-Iu/ZI CtJ';'/ <br /> <br />PARCEL ID # Y!-:Y;-Z-I-oo/O-oZ,f"oO-/390 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />DSIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />D# OF UNITS <br /> <br />D MOBILE HOME <br /> <br />BQ;HER <br />/ll-U /111 ;lIJ/M fkbJ6F <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK. C;9fl-flDtZ-r) SC/Z.fc'/V j2<)O/JI'!., V -/2UOM <br />I <br />SQUARE FOOTAGE <br /> <br />1Jv <br /> <br />HEIGHT <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 />[JY13UILDING <br />GYELECTRICAL <br /> <br />$ <br /> <br />8"(1)0- bO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />/ <br />I <br />W. R. E. C. tV/Iff: S!-ICO/ <br />~ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 />BUILDER <br /> <br />SIGNATURE <br /> <br />~ II. W <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />. COMPANY A-cc fL--f<.:.. 7flC. <br />~ /' ~) STATE CERT OR REGIST # <br />, . ..~ /I. . , CITY PROCESSING # If? 1 <br /> <br />***************************************************J:***f********* <br /> <br />ELECTRICIAN <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 />