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<br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 ,;!~ ~', <br />DATE RECEIVED It: <br />PLANS REVIEW PEE <br /> <br />OWNER I S NAME f1l,1e b~"ci"'~ re <br />/ ~ <br />JOB SITE ADDRESS sr09 /7 51 <br /> <br />PHONE CONTACT _7dPdP//3S~CJ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # / f .:< 6 -,;2. (-6olt) -Iff-Do -0070 <br />WORK PROPSED: DNEW CONSTRUCTION1!fADDITION <br /> <br />o ALTERATION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~NSTALL <br /> <br />o REPAIR <br /> <br />DSIGN <br />PROPOSED USE: Ef:SGL FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT.& HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 14/)0 jt) j.. ('( a.-vc., -si-rh r _r(-/.-e~J' 1200,"1 <br />3c' X 'f d /oYI? <br /> <br />SQUARE FOOTAGE I- 2' ~>-t!:> / ?o <br />, . <br /> <br />HEIGHT <br /> <br />r <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 />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />ozV7r <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 />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 />0'"'6THER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />g...N0 <br /> <br /> <br />BUILDER . ' COMPANY_So(")7'?le..l'....v' l:!:~J~.ee../' <br />.-' " ~ STATE CERT OR REGIST #. 6. 6. "' I <br />SIGNATUR~ ,. ~. CITY PROCESSING # {;5"" () (. <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />