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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME 1=""\0 21 ~ A MCH) \ ~~ l C. {Lt..) I c.. P. A ' <br />JOB SITE ADDRESS 38135' /.A."R.Kc-r 5'i~It1eC <br /> <br />PHONE CONTACT Sa G D,;, L" l"onlt~ <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JADDITION <br /> <br />[J ALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />[J MOBILE HOME <br />~R <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK J:t.J S'J'1\L<-. <br />BUILDING SIZE z~X Sc; <br /> <br />/J.. () Du L ttJe 0 f:' F" l C. cr- 5" D ~ Co <:.: <br />, <br />SQUARE FOOTAGE / 2. 0 C) <br /> <br />HEIGHT <br /> <br />, , , <br />1'2. 0 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENE <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC <br /> <br /> <br /> <br />~UILDING $ 3cf,o(')0 VALUATION OF TOTAL CONS N <br />~LECTRICAL Zoo AMP SERVICE ~LORIDA POWER [J W.R.E.C. <br />[J PLUMBING <br />[J MECHANICAL $ /V/A VALUATION OF MECHANCIAL INSTALLATION <br /> , <br />[J GAS [J ROOFING [J SPECIALTY [J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />18 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES ~ NO <br /> <br /> <br />BUILDBR COMPjWY U I ,.;)SC)!<D Bu IL o-g; ~ c~. <br />(7 ~ STATE CERT OR REGIST # (}. c.o 5 a c; <br />SIGNATUREr 1 !JJ~ CITY PROCESSING # /92.8 n j( ~ <br /> <br />****************************************************************** <br /> <br />BLBCTRICIANQ~ l~ COMPANY APG- IEL(;<::IRIc:. .IN C. <br />- ~ STATE CERT OR REGIST # <br />SIGNATURE ' CITY PROCESSING # J. ~ <br />I 71)... ~' Ii I <br /> <br />***********************************************************~** , <br /> <br />PLUMBBR <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />