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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTKsNT 5335 Sth STRBBT ZBPHYRHILLS, PL 33540 <br />Phon&IS13-7S0-0020 Pax:S13-7S0-0021 <br />DATB RECEIVBD <br />PLANS RBVIEW PBB <br /> <br />OWNER'S NAME AI e V f::. 0 "" <br />JOB SITE ADDRESS ~7h <br /> <br />LEGAL DESCRIPTION: LOT (S) 1- t <br />~~-;)--) <br /> <br />,1 , <br />- /JRoOet:.T,e 5 ::l/lIC. <br />Ate' ' t 30L 5~09 ba /I ~Iv'd. <br />I!. ~6.2 7 <br />BLOCK .I J.. J... q SUBDIVISION <br /> <br />C~ /0 - I J- ~ 0'0 ~OBTAI aF~M <br />o ADDITION DALTERATION c' - 0 REPA1'R!. oJ <br /> <br />PHONE CONTACT <br /> <br />){J,;J.- 7~oI ~ <br /> <br />PARCEL ID # <br /> <br />/1 <br /> <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />o MULTI - FAMILY <br /> <br />[J # OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK LJ~"'fJl?~c.J /Yl't"1/?/ <br />,. . <br /> <br />8b,'! c!/'JVq <br />.J <br /> <br />BUILDING SIZE <br /> <br />60 "f.. <60 <br /> <br />SQUARE FOOTAGE ~~O (,) <br />, <br /> <br />HEIGHT &tlt:'~ fctl ~:J:y!C/ <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 />m' BUILDING <br />r1IELECTRICAL <br /> <br />$ <br /> <br />/.5t" 0 0'""'. " c <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />v2,} 5 /lI"1P ml\l:/I.~p SERVICE <br />, <br /> <br />~ FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />aYPLUMBING <br />if 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 />lE1 STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES a(NO <br /> <br />777- {)s/S- <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />r: J!ro <br /> <br />$ao. -.be- <br />******************************************************* *********' <br /> <br /> <br />BLBCTRICIAN~L/ COMPANY h ~ sc C' ~ S oS E / <br />.' - - - STATE CERT OR REGIST # C C-bc ~ -7 c.J <br />SIGNATURE , . - - CITY PROCESSIN~ #./y,;. /Ja5fJ'tJ'f!rc uk.. <br /> <br />* * * ** * * *** ** * * * * * * *** * * * * * *-.. * * * * * ** * * * * * * * * * * * * * *:;Ii.* *** * *~ * * * * * * <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY /1/ rt 'v ~I?/I/ .1. <br />~_ 7 /~' STATE CERT OR RE~IST #"-"'~<?.s'S <br />~ c. /f} CITY PROCESSING # IS ~ ~ I/PD4'VE <br /> <br />· ............ ....... ""'''''''';;.;:;.'''' ;;:;;v,;'- ~?ff:.~K <br /> <br />STATE CERT OR REGIST # (? ~6 <br />CITY PROCESSING #~.<<a D(p ;1<. <br /> <br /> <br />********************************* ******** <br /> <br />SIGNATURE <br /> <br />KBCIlAHICAL <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />