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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPAR~NT 5335 8th STRBBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVED <br />PLANS REVIEW PBB <br /> <br />OWNER'S NAME-.TbKfSA L. mAR -r6L,~ <br />JOB SITE ADDRESS 31'l7~ IYJ EA()OW woo D ~ 00 p <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br /> <br />-ITfJJO -- <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />[]SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI - FAMILY <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DRf veWAY EX1~N5JO,j <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <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 />[]GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />''''..n-~''~'''f''~lfm'''Cl''!'J''1''''''''''='''''''''''''f''''''='"'I.If'''''' ~ ----"'------' -- "-'--.~=I.ll"'_II_~-_ <br />'1"'2\'1' J ""W.,.,".i"""" "'1"''' {.flU';!!" . I t,'0, ~ Tran J;tlf . <br />f' .iltH,! r'l l! f'~'j"lf ti'iifWtv,. "J{ ; [i: I . i!lM;:J 'ti . " <br />tit~ifDL7nmltJ~,.,;'b: JlifM.J, u; c' ~i-!",~i ",,::I., !'~;; --'. , _ , ili ,,~,", ~,'., I I . <br /> <br />SIGNATURE <br /> <br />~ltll <br /> <br />COMPANY 004\ 0 .r- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDBR <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************************************************~*~j************** <br /> <br />PLUHBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <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 />