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<br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 ~JII <br />DATB RBCEIVED ;?f-l_V l <br />PLANS REVIBW PEE <br /> <br />OWNER I S NAME ~ a Jr tfa I-q' <br />JOB SITE ADDRESS tJ J--o J <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />Ld)~-t)7 <br />hi J?U <br /> <br />BLOCK <br /> <br />PHONE CONTACT <br /> <br />SUBDIVISION ~~L)'A"5)~~ /?)/#9 <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />GJ..ABf>ITION <br /> <br />(JALTERATION <br /> <br />(JREPAIR <br /> <br />(J INSTALL <br /> <br />(J SIGN <br /> <br />(JMOVE <br /> <br />(J DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />(J COMMERCIAL <br /> <br />(J INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 1..4t)"} j--t7~ <br />BUILDING SIZE Zf.?l} J!? IOf Iff' <br /> <br />~ <br /> <br />u L,. .f "." -17 ~ <br />FOOTAGE If-P~~ <br /> <br />HEIGHT c; / <br /> <br />SQUARE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />~ECTRICAL <br />~UMBING <br /> <br />$ <br /> <br />/ IJ .JOt} <br />/ <br /> <br />PERMITS REQUESTED <br />~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(J GAS <br /> <br />(J ROOFING <br /> <br />(J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />o FRAME <br /> <br />(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES 0 NO <br /> <br /> <br /> <br />COMPANY /f-L-L- ~.,4'1 ("71 /f-Lqhr//1 ~ <br />STATE CERT OR REGIST # ). C L.-O ~J.-t:'~ <br />CITY PROCESSING # 1.7>> 5' If:- <br />WL -+ >{. ~k J...~1.c.e <br />**********~*******~* <br /> <br />BUILDBR <br /> <br />************* ************************** <br /> <br />M COMPANY W ~ ~ <br /> <br />STATE CERT OR REGIST # <br />~ CITY PROCESSING # :2 If 2." K.. <br /> <br />*************************************************************G?**** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />