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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phones813-780-0020 Faxs813-780-0021 I I <br />DATE RECEIVED ( IIG, IO( <br />PLANS REVIEW FEE <br /> <br />OWNER I S NAME C f2/+1Jp <br /> <br />/-+/)(t (2D tJ' <br />IV &'U/(blvt <br /> <br />/VI ~ /.:; I fJ . <br />I/. VE. <br /> <br />t..OI <br /> <br />PHONE CONTACT r; cf z - I 6(;, if <br />) D 5' <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION c;i'l/.w J-./.(),/l( ~(),..; /VJ../-I. f, <br /> <br />PARCEL ID # j Lf - 2-5 -2-- I - 0 DID _ 02 ,r 00 - V / 05' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: !lI1'fEw CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR ~STALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS 0 MOBILE HOME <br /> <br />DSWIMMING POOL ~HER <br />"q J-V/'Il1 jl/i/V\... <br /> <br />CJjlJ <br />4- X 3Z C;:J~ ~r <br />q ~ HEIGHT <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />D <br />J <br />DESCRIPTION OF WORK (/'/./ If ' <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />~LDING <br />~ECTRICAL <br /> <br />$ Il ']1) 9, 5'1 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. wl~ S{-JEfJ <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 />BUILDER <br />SIGNATURE ~ <br /> <br />,4 - fU~ <br /> <br />COMPANYt?,tH CD/V'7TlLlicrl b~ tPF C/;/VTML t-L << <br />STATE CERT OR REGIST # CRC65'7'7<f-z- <br />CITY PROCESSING # ~~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY m=. {3 UcTf2{ c <br />~ A. STATE CERT OR REGIST # <br />. · - r1M . CITY PROCESSING # / P l: <br /> <br />*****~**************************************************'***** *** <br /> <br />ELECTRICIAN <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MBCHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~****************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />