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<br />I J\ (~d\ <br />I uS 0\ ) CITY OF ZEPHYRHILLS PERMIT APPLICATION ~ <br />)i:')' /,UILDING DEPARTMENT 5335 8th STREBT ZBPHYRHILLS, PL 33540 <br />/~ Phone:813-780-0020 Pax:813-780-0021 ~//. ~ <br />DATB RECBIVED -::::> I 0 () (_ <br />PLANS REVIBW FEE <br /> <br />OWNER'S NAME ~~S'~tql0t,.~ <br />JOB SITE ADDRESS S's- 3 7 ~ LI -g (v~ <br /> <br />PHONE CONTACT 7~ · '1 SOt) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # (/ ';2" ,C).../' ()O (D < 06 S-~ 'CJ Ie:> t9 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> ~IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Ne>w <br /> <br />!l10'lLlHA"J ~ (' ~ <br />/ <br />SQUARE FOOTAGE <br /> <br />36 <br /> <br />HEIGHT <br /> <br />8/ <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 />o BUILDING <br /> <br />$ <br /> <br />7?t?a;1 <br />I <br /> <br />t:Xf) <br />--- <br /> <br />PERMITS REQUESTED <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~THER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 SI \: <br /> <br />SIGNATIJREdL/ ~J- <br /> <br />COMPANY ft,/'- f4 ~~ S:;l h' <br />STATE CERT OR REGI # <br />CITY PROCESSING # 5l 5"'5"""( <br /> <br />67~ <br />/661 <br /> <br />***************************************************************** <br />