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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RBCEIVED <br />PLANS REVIEW PBE <br /> <br />OWNER'S NAME \,Al \ 1\ I (AM I E f(tJ~ UCAP<:>€:. I O~ <br />JOB SITE ADDRESS Il""\1-; -)+ ~ NCr~ P-vE, <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT (S) Un 17 I ''(.) <br />I I <br /> <br />BLOCK <br /> <br />y~ <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />JZ1 INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />J1 OTHER <br /> <br />o 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 />y t="\ (, \....c, 1 j", <br /> <br />, 10' {, <br />( ,. '-' \- \ 1 <br /> <br />~(:S--- <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />I-/r--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 />o BUILDING <br /> <br />$ <br /> <br />$>')5t5~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />y1 OTHER ~_J--'::' ('_I r"'J <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />pOTHER q (;. k._ A !.,\.Nl. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <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 />HBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER ~'k..,--c c. I,\.) 31 ^ J \ <br />, : /' Ii <br />SIGNAT~_')~ !.U <br /> <br />COMPANY ;J! (~C ~.l \!)LCS. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />..-- ,: '"v /' < ,'- '"" <br />, x... c... _ ,_./;1 <br /> <br />'T <br />...L" ( <br /> <br />***************************************************************** <br />