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<br />OWNER'S NAME EJcJ Y-J 12- d <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 7 ,~ <br />-/0- <::) / <br />DATB RBCBIVED <br />PLANS REVIEW FBB <br /> <br />r/ ::J,4Cf/SbJ <br />.3 fb)lJ- /d-l/C 4t/~ <br /> <br />PHONE CONTACT f? /3 ;;;6' L (, b/ -3 <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J SIGN <br /> <br />)1 ADDITION <br />[JMOVE <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI - FAMILY <br /> <br />[J # OF UNITS <br /> <br />[JMOBILE HOME <br /> <br />[JCOMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-:;Lr/ S//j ((~d ;J1R74 L3f,~ cI <br /> <br />BUILDING SIZE <br /> <br />/~ y.. J{ <br /> <br />SQUARE FOOTAGE <br /> <br />(fo ( <br /> <br />her C Ld I ~/:r <br />7/ <br /> <br />HEIGHT <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 />~UILDING <br />[J ELll:CTRICAL <br /> <br />$ <br /> <br />~~S. <br /> <br />- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />