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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STREBT ZBPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATB RBCBIVED ~ .. /- 0 I <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME G/2I4Jf} /.)012/ ztJl'l //11/-1, p, <br /> <br />. . <br /> <br />JOB SITE ADDRESS 375;2 ~ Nf'ul\OtVt AvE. 1-.0 r I2/-2- <br />, <br /> <br />PHONE CONTACT r;~ Z.- / O~ 'I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />{;E/MJ.o /-1-0 t:-I 20111 <br /> <br />PARCEL ID # . _ 25- 2{ - 001 ()_ <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />?oo~ /420 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[B--T"NSTALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL 0O~HER <br />//t.U41 /Ni./#1. P I1-cK if6t: <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK. EA-I St5.-;J 5;: /z?~;I j2DtJM.. J CJ1.R.ftJl!.r; v-/2-l)o/J'1 <br />r / <br />. SQUARE FOOTAGE Icgo <br /> <br />BUILDING SIZE <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 />[]"1lUILDING <br />u;r1fLECTRICAL <br /> <br />$ /D: 1'12, 05 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. iJ112? 5Ht~O <br /> <br />o PLUMBING <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDBR <br />'f2 11, /" /J, ;} <br />SIGNATURE~ I~ ~ <br /> <br />COMPANY EA(-f CON>rf(.uC7ID!V OF C6tJi12-fJL t:L, <br />STATE CERT OR REGIST # C{?,Co 5"7?g-z... <br />CITY PROCESSING # 2(, <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~.Ir <br /> <br />0dd2 <br /> <br />COMPANY 4Cl~ CL.tG r.e(C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST #. <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********~***************************************************** <br /> <br />OTHBR <br /> <br />. COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />