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<br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED <br />PLANS REVIEW FBB <br /> <br />s-Izlo l <br /> <br />. <br /> <br />OWNER'S NAME C .'1 ~ u.( e &; I cd H c\ / Jt ~"C/ C t ~ /,8."// II)I~ PHONE CONTACT <br />I <br />JOB SITE ADDRESS ..?E>&1/cJtf~J?-t!J?lu- vw L /-. .r:? D It. < ::z I/-z . -/ ~ I ~~ J j..s-~ LJ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # c!J.:J. -.;; 6 -.1 / - (J (!J / " - d..5 ~ t1~ - {J 6J 40 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />lh.cOMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />TN I~ C I"''' rC <br /> <br />;e e LA-r t! 01& /- J'-l q <br />/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 />o BUILDING <br /> <br />$ /d..} 6tJ <br /> <br />610 <br />-=--- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />" (J <br />.1 ~t.1 - <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 COMPANY Jd IU-I L C S'I.-- ....f ~ Cd 1-1.(' >< <br />/l r-"> # ~ STATE CERT OR REGIST # C.&C &.s:-~ s,-; 7' <br />SIGNATURE~ ~ ~~ CITY PROCESSING # ,J 9 ~ <br /> <br />~ **************::************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY fJ it? ~ r- C i/t s; ~ t-;.G, c--1 < . r <br />STATE CERT OR REGIST # ~// c:- / 7 <br />CITY PROCESSING # /~& ' <br /> <br />, <br /> <br />BLBCTRICI <br /> <br />****************************************************** <br /> <br />PLUMBBR <br /> <br />~ ~ COMPANY t!.Itlt''i MH~ fef1''-;j <br />/l~- ./ 'L.# STATE CERT OR REGIST #. I( G <br />W-------:fi..t_ .~ CITY PROCESSING # /6 <br /> <br /> <br />******* **************************~~~;;;;**~;***~~~*l~**~ <br /> <br /> <br />STATE CERT OR RE6;sT #. <br />CITY PROCESSING # /8 .2. <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br /> <br />***************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />