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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540 <br />Phonez813-780-0020 Paxz813-780-0021 <br />DATB RBCBIVED JI JJ'1 0 I <br />PLANS REVIEW PBB <br /> <br />OWNER'S NAME Df2.e ~ /-lu d'7 I'^ .5 <br />3~Lf5 '3> 5 f~ Ail e. <br />'7 <br />LEGAL DESCRIPTION: LOT(S).B <br />'" 11.;l..(O .2.i 00 10 15 <br />PARCEL ID # I <br /> <br />WORK PROPSED~TRUCTION <br /> <br /> <br />'2 c.pAy Jf...h," ds [:/, <br />153 <br />BI.J)~.~j' 3. SUBDIVISION <br />30.0 - Qr:J[jo <br />-0070 <br /> <br />PHONE CONTACT 7?- f -55' 3 'I <br />3 35'10 <br /> <br />JOB SITE ADDRESS <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DADDITIG>N <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />0'COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK _F-~C<e... J./Js-fa....t l~+~o,J <br />1- +=. <br />BUILDING SIZE 5eHARE FOOTAGE <br /> <br />3/ f-f <br /> <br />HEIGHT <br /> <br />h I <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 />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 />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 AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPfoNY <br />STAT~ CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELBCTRICIAN <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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />