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<br />OWNER'S NAME 2.eIAtrIJ.// C; ()lff~/~/J1'.eA r"';' <br />JOB SITE ADDRESS #/33C e:l.i; t:!:-;J:.fre4 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />I L '" lIttt1j, <br />~(2.e(O( , <br />,~ <br /> <br />.}w <br />Ut~1 J <br /> <br />~#7c.(;- <br /> <br />PHONE <br /> <br />CONTAC~ f,O) <654.s,,'f~ <br />...... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J SIGN <br /> <br />Jil"ADDITION <br />[JMOVE <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o MULTI - FAMILY <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />[]MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~ <br /> <br />~ <br /> <br />( . <br />-.~ <br /> <br />f;~ ev,i7",,;'e; /U.:.r~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. I <br />REQUIRED FOR ALL NEW CONSTRUCTION. ';\. & -t9"V , <br /> <br />--to ( V -- <br />PERMITS REQUESTED ~tYJ1k ~ <br />~ <br />VALUATION OF TOTAL CONSTRUCTION ~ <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C~ !)':;b <br />~ ~~nV ~1~9-7'3 <br /> <br />VALUATION OF MECHANCIAL ~;;ON ~ <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$.$ 7COO-? <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />" <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**************************************************~~************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />**********************************************~********~********* <br /> <br />(913) Bs"'~..rs~ COMPANY U/"IAI?'h4.. r,.i~ ~Nt/,rrs <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 'J F V' e>;f <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />