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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 B~ STRBET ZEPHYRHILLS, PL 33540 <br />Phone:B13-7BO-0020 Fax:B13-7BO-0021 <br />DATB RBCEIVED t. --- .:2:2 - 0 <br />PLANS REVIEW FBE <br /> <br />OWNER'S NAME \Y).q ~ c.. E. ~ 'Do \ "I?$ .s l,)G, KD E-C~ <br />JOB SITE ADDRESS 3 -, 7/7 N 1. wC\.l 1'\(\ ~ 2. ' 1-+1 \ !"j I <br /> <br />PHONE CONTACT('6I~) 7 ?:;....3SIQ <br />-f-Io tl. I r:;Jf\ 33541 <br /> <br />~5 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />.~p I ~>j <br />'-~pf\'lft j(.(h'rf:.. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />03 - ;;<G,. <). 1- ("C':l3()-CX.:r:::OO- , '...:.lS('l <br />~NEW CONSTRUCTION o ADDITION <br />DSIGN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-- .\.- ' I (~y . I I. <br />DESCRIPTION OF WORK .if)':") '-\ \ \ y').,t-,' ov, ~~ v), ' \""10; low ro'l"t~f... <br /> <br />;":;C611 s \..1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE I I 3 '6 7 <br /> <br />HEIGHT <br /> <br />1;;:'6 <br /> <br />C~'__~.~!P~~~~~~ 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 />)?j BUILDING <br />~ ELECTRICAL <br />9ii PLUMBING <br />'it. MECHANICAL <br /> <br />$ <br /> <br />1JO,ooo <br />~OD <br /> <br />o c.) <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~/ W.R.E.C. <br /> <br />o FLORIDA POWER <br /> <br />$ <br /> <br />\ I j('O 00 <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 />~ OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES )( NO <br /> <br /> <br />BUILDBR ve60MPANY Go ~ O~ "\ e..Avl:5~od <br />5=1? ^ 0 .lV\J\ f STATE. CERTOR. REGIST # <br />SIGNATUREU y.eIU)'l.I\fL ~. ' I VV\OLl'") CC~ PROCE:Ss-:i:NG:,r----,-_ <br /> <br />****************************************IF.......**"*"*~~********* <br /> <br />ELBCTRICI~ <br />SIGNATURE ~ Jf. ~ ~ <br /> <br />COMPANY 3""Ore.OO(') <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />PLUMBER <br /> <br />SIGNATURE ~ ~ ~~ <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />