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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION \LA(~ <br />BUILDING DBPARTMENT 5335 Sth STREET ZBPHYRHILLS, FL 33540 \ . <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 .___ <br />DATB RECEIVED <br />PLANS REVIEW FEB <br /> <br />'1 (zJ(O( <br /> <br />-' <br /> <br />OWNER'S NAME r~es l)j. <br />JOB SITE ADDRESS ~ <e> LR ~1- <br /> <br />, . <br /> <br />L ~ \ v'\ e_J::, <br />'71 ~~f- <br /> <br />PHONE CONTACT 7 Z3 2...... B 7 '3 <:...:, <br />Av-fL. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # S( -- 2l)' ,2 I.. oo<;u 00000,- (:) 3/ 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />~ ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK _Add;"h ~ o.{ <br />lq ~l'2. <br /> <br />'Y\/~ <br /> <br />~taY:da.. '~Ol'Y\ <br />2(B <br /> <br />HEIGHT <br /> <br />crt <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />If <br />12- <br />f"t> <br />~ <br />2-d <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 CONSTRUCTIO'- <br /> <br />'f}t BUILDING <br />Vi ELECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTR <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />RROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDBR <br /> <br /> <br />COMPANY 04...9-J:JtI:..,(_) <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATUR <br /> <br />************************************************* <br /> <br /> <br />COMPANY (i) L..nJ.</J .J <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />ELBCTRI <br /> <br />MEeHANI <br /> <br /> <br />CO PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA <br /> <br />***************************~****************** <br />COMPANY ~ti'A J <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 />