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<br />@ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 aU STREBT ZBPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 7 I I <br />DATB RBCBIVED / I C. I <:> ( <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME ?;l/JtJO /J(;(l( ZtJrv fV1./-11 (J. PHONE CONTACT '7fz-/1J6L( <br />JOB SITE ADDRESS "375'+ Y' /V,:;v ~ /)VE ~I :;2.5' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION CfL})$J j.-J,jtGl ZEJIi/ ,vJff.t. <br /> <br />PARCEL ID # ]Lf-z-5 - 2--/- DD' 0 _ 02.%<90 - 0 2--30 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR ~TALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />[3QTHER <br />/J /.... vrn I JV VIV'- <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK 10 <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />54>0 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[B"BUILDING <br />~LECTRICAL <br /> <br />$ CJ12'l. ryO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. w/fLtE Sf-//3,J <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o 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 /> <br />BUILDBR <br />SIGNATURE ~ A. rktd? <br /> <br />COMPANy.Bf /+ {tJfI/,/1-VGT/or! or- CO./i111l- FL. <br />STATE CERT OR REGIST # C(2,CO~77PZ. <br />CITY PROCESSING # ~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~.A. <br /> <br />~ <br /> <br />COMPANY Ac~ pU3crf!.-l <-- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~****************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />