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<br />~ <br /> <br />I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 813-788-6611 FAX: 813-788-1516 ~ _ 2../- 0 / <br />DATE RECEIVED - - <br />PLANS REVIEW I'BJIl <br /> <br />JOB ADDRESS SI~~tI <br /> <br />filflf/~/<.. &Jft'/OP o.{ /J#1E"f'/;" <br /> <br />(/ . <br /> <br />;;? a.d ..r/Ie EE r ;:? t€ ~.JYA'4t d ,r L <br />, , /' <br /> <br />PHONE <br /> <br />~/s-7?J--/9S7 <br />3' 3' .g-.P(:J <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /.3 61~;;? / CIa 70 0 7~C7cJ <br /> <br />t'o~ CJ (OR'I'ATN FROM PROPF.R'I'V 'l'AX NO'l'Tr.F.) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION ~ERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />WORK ./~21~k,.,~[hd~~~~~. <br /> <br />SQUARE FOOTAGE HEIGHT ~~ <br /> <br />BUILDING SIZE <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 />~UILDING <br />~LECTRICAL <br />~LUMBING <br />o MECHANICAL $ <br /> <br />PERMITS REQUESTED <br />/t? / / a 00 VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o W.R.E~ ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION ~ ~/ <br />,A~. <br />8""13 -- ~!b1r-/~.;l7 <br />T4~ tfJ3 --;;<~S--07JY <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />AMP SERVICE <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 />"'~]iig <br /> <br />BUIWn Qt/~ COMPANY ~ .#J k,I,//;##5-fbri/lc/(JA'S. . <br />/ . STATE CERT OR REGIST # rtr cd ~~ gr <br />SIGNATUR . CITY PROCESSING i L'/~ -#-~.~~/ <br /> <br /> <br />****************************************************************** ~ <br /> <br /> <br />JIlLJllCTRICIAN "A COMPANY E, r A..EA E/i{!#/~,,9/ tIJ~,.,dtWJ.:u){,1 <br />~~ ~~ STATE CERT OR REGIST # <br />SIGNATUREV- 1- - --. CITY PROCESSING * ~~._JJa <br /> <br />****************************************************** . ~~*** <br /> <br />4 ' COMPANY IVAllJJt/H/}///1 CJ .7/T/C- <br /> <br />r/. STATE CERT OR REGIST # <~ <br />,~. CITY PROCESSING * ~ <br /> <br />**************************~ ***** .. . . <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />******************* <br /> <br /> <br />OTHlilR <br /> <br />SIGNATURE <br />