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<br />/0 <br />& <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STRBET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RECEIVED <br />PLANS REVIEW PEE <br /> <br />OWNER I S NAME /) flJ &R r} ~\+ <br />JOB SITE ADDRESS '73/? <br /> <br />I~~ ~ S 61' P. <br />, <br /> <br />G it-) ) i.3 /1/ :D <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK OO...~DD <br /> <br />SUBDIVISION <br /> <br />DOr?~ <br /> <br />0090 <br />PARCEL ID # S -.3 tf T 2--5. <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />~ ?) <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />B'ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <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 />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />[] INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />t ~/d 1fC. e.. <br /> <br />~ l( .d'" e.t..5 <;t. r'!-e ;L ;',-t.;:J T /" j e..- <br />SQUARE FOOTAGE <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 />[3" BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[YELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJBCT IN FLOOD ZONE AREA 0 YES D NO <br /> <br /> <br />BUILDER <br />SIGNATURE X :J;>j ~ .r..,.) >~ <br /> <br />..-.- <br />COMPANY Ie <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNA <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY1?t)~~ )\\h~\A-1$ t,,~.]),. C <br />STATE CERT OR REGIST # Ct:... OD()( 0 4-1) <br />CITY PROCESSING # .2"-1$3 . <br />. ~. <br />*************************************~1**\*~*i*:~JJ~~ <br /> <br />COMPANY ?e~ s'..' PI c,~ b ;"'5 <br /> <br />-....., " STATE CERT OR REGIST # <br />y~ E & y:::> CITY PROCESSING # '2 8~~ <br /> <br />PLUMBER <br />SIGNATURE .x <br /> <br />MBCHANICAL <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 />