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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTMENT 5335 8th STREBT ZBPHYRHILLS, FL 33540 7~/' I /0 I <br />Phone:813-780-0020 Fax:813-780-0021 W <br />DATB RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME (;/2A/Vt; /-kJ at 'ZtJ/J fYI.li. p. <br />JOB SITE ADDRESS 37.5'2(, /Vf.UJ 1-Io(L(?i!;v <br /> <br />PHONE CONTACT I)tf 2 - / fX:, Y <br /> <br />/-Dr- 70 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(fJ/ZAM:J IJo (l ( ? dtV <br /> <br />PARCEL ID # 34- 2~ -2-' - 06/ t) - 0 2YOO -0700 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION 0 REPAIR D INSTALL <br />D DEMOLISH IlV./M I IV'v/J1. v--- <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />DMOBILE HOME <br />DOTHER <br /> <br />D COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Ie K If <br />DESCRIPTION OF WORK ~C~cA/ ~g~ <br />. <br /> <br />I D x'1 0 ~Ht5iJ I <br />. <br /> <br />7-f)'i<' 2.0 <br />~fo <br /> <br />C;4!&DILT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />6ILDING <br />lB"ELECTRICAL <br /> <br />$Q13Cf. lf1 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. tJla sfffO <br /> <br />D PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 AREA 0 YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~4,.~ <br /> <br />COMPANY E of H- Cotv'$7f2 ,-,C rz 0 IV nF Ct~NrfML pL , <br />STATE CERT OR REGIST # .. Cl'X-0.5? '7 R-2- <br />CITY PROCESSING # '2-(" <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~- 4.0dJ( <br /> <br />COMPANY A~ t:c...I<.:Tf2-{ c.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /qrt <br /> <br />ELECTRICIAN <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 />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 />