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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />PhoneIS13-7S0-0020 Pax:S13-780-0021... "( / <br />DATE RECEIVED b I 0 ) <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 0!2.AN/J J-/4U2DtJ {J,1,H, fl, <br />JOB SITE ADDRESS 3'7 511 LOU: Iv f} 1+ \IE . <br /> <br />PHONE CONTACT -712 - I DC, tf <br /> <br />t-or ID'7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Cf2IJIVt! /-i6 (Z I Z D;.I /lII1,p, <br /> <br />PARCEL ID # 3lf-25 -2{- 00/ t) ~ D ztfoo- <br />WORK PROPSED: ~w CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />l:trINSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL o INDUSTRIAL DSWIMMING POOL G30THER <br />1l&n1f/llJ/H fAcKfJ6E <br />/I'C7J c=J RESTAURANT & HEALTH D~TMENT APPROVAL <br />cH9 r(3.c70'\~) <br />DESCRIPTION OF WORK. / Ox It /2A15t# Sa2tiitJ f2[)i1,A1. I /t?x-70 C/lf?!,.?flT, I OJ({ 0 Sf-ifJ? <br />f f <br /> <br />BUILDING SIZE SQUARE FOOTAGE ~00 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 />[!(BUILDING <br />UYELECTRICAL <br /> <br />$ I o7tl, Lj. 5' <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. w/(zt .5ff(30 <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 AREA 0 YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~.. /~, f1JM2 <br /> <br />COMPANY Ell-!- CCNST/lVG Ilbr-f of r: OvTll/k.. FL \ <br />STATE CERT OR REGIST # c..gco 5 '77 t-z... <br />CITY PROCESSING # 7~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN . <br />SIGNATURE _r3-~- I~' w <br />, <br /> <br />*****l~*********************************************************** <br /> <br />COMPANY /let: J3L-Ec Tf!({ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUHBER <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 />OTHER <br /> <br />. COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />