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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 A "'>"'1 I <br />DATE RECEIVED ~ 0<.0-< -0 _ <br />,.?j/lRA,A) 1::.-" ~~A PLANS REVI; FEB -- _ <br /> <br />If,/ndA (WIL&;'1l J) I7A/2~~ ~t&t~ACT ~-(P/6(/ <br />< -- ~W-4;l;l33 <br />~.?' ~^' ~i!'A?//Ve /J~, . <br />jJ~ 11' ~O:-21 .La,' /2 tJ~ /~t?~~?.2~- _ / ,ft. ,I <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~~/.1~~~~~~Jf~ <br />~ <br />(OBTAIN FROM PROPERTY TAX NOTICE) ~ <br /> <br />OWNER'S NAME <br /> <br /> <br />JOB SITE ADDRESS <br /> <br />PARCEL ID # <br /> <br />-,;l~ r;2.1 OtJV tJ <br /> <br />.::'~ <br /> <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY 0# OF UNITS [J MOBILE HOME <br /> <br />[J COMMERCIAL ~ [J INDUSTRIAL [J SWIMMING POOL ~4~~~ / <br />j} d I ~i ~~~ S7'IJ41/e ~I?t!j;f <br />::f h/e.,f:::'..t.":; dJ/~.t~ &AJ,~T';".e~~..L:1:~.,#'A'''' 4J" /M-etJ"'M>~_-/ <br />DESCRIPTION OF ~RK Zr~k.. tfred' AdaLk SAA1,?e ((;{~/ ~y tJtb/w:?A' <br /> <br />BUILDING SIZE I tJ0:::zJ / SQUARE FOOTAGE :Jtf 0 HEIGHT 1~/C~......~...-t <br />g,-/ /.'~..J <br />ENERGY FORMS. <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ ;; /JOt'? <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~ %::.::., <br /> <br />, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />[J SPECIALTY <br /> <br />[) OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK [) FRAME <br />~ /., /1_ /0// <br />FINISHED FLOOR ELEVATIONS ___ /~ " <br /> <br />[) STEEL <br /> <br />7 ~THER MN'~ <br />, <br /> <br />IS PROJECT IN FLOOD ZONE AREA[) YES <br /> <br />[) NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE~~~L.~~ .. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT ORREGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />