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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED ~4/-0( <br />PLANS REVIEW FBB .c:::: <br /> <br />OWNER'S NAME C~<;+-~ A ' <br />JOB SITE ADDRESS 5 D 4q <br />LEGAL DESCRIPTION: LOT(S) I + ?; <br /> <br />PARCEL ID # <br /> <br />-rr A e4,d e <br />qth 5+. <br /> <br />BLOCK :< 0 (p <br /> <br />PHONE CONTACT I Z <6- S- Z 3~ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />DSIGN <br /> <br />~ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o INSTALL <br /> <br />o REPAIR <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK -:0e,'Ylo\; hOf"l +- LeCo,-, S-l-rvd7t.n c;P <br />, () e't.<> '3 ro c ""'"' 4 fJof) \\.5 Co .......... <br />BUILDING SIZE dd q II ~ ~ I . SQUARE FOOTAGE <br /> <br />~LUMBING <br />~CHANICAL $ I( ~OO <br />o GAS ~OFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />eM 00""'" ~ r UuI1~r; <br />HEIGHT <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRU~I~:..;",a' GIV,EIJ Ot..>p)}::'R~ <br /> <br />d)/~eLL? t>T11TF~Nl fl> "YfluiZJJ <br />PERMITS REQUESTED ~tI~j...., -p~'"LIA/7fn:J. <br /> <br />$/O,ooe::. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~FLORIDA POWER 0 <br /> <br />W.R.E,C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [o/f16 <br /> <br /> <br />COMPANY (~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDBR <br /> <br />SIGNATURE CtrSJ-.cl A -Y;;~J -'- <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUHBBR <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY C5"W-n~- <br />~ I /I /I '~~CL- STATE CERT OR REGIST # <br />~~, ---r CITY PROCESSING # <br /> <br />***** ************************************************************ <br /> <br />COMPANY C51JJYl LA- <br /> <br />C-'~' Ii - \ STATE CERT OR REGIST # <br /> <br />_~ ' I /)liU.-tf cl.Jl-. CITY PROCESSING # <br /> <br />**** ************************************************************* <br /> <br />COMPANY {~I'LA.. <br /> <br />~ I STATE CERT OR REGIST # <br />4, -r:A~ ~LA.... CITY PROCESSING # <br /> <br />* * ** * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** ** ** * * * * * * * * * ," * * * * * * * * <br /> <br />C"'tU tl T II"'-'1J-- <br /> <br />COMPANY O'"vt.-Yl L/'--. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />