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<br />'\ <br />\ <br /> <br />\ ~~~cl:~! <br />~ '~_. <br />OWNER'S NAME /r~ O{~. <br />JOB SITE ADDRESS :31? 3S- J,. t1 ODS 7;0 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540~ <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATE RECEIVED g - ::? :J - 0/ <br />PLANS REVIEW PEE <br /> <br />r/_ ~ 1-0 I <br />'1f. i?- <' <br /> <br />PHONE CONTACT ?~ rg - S (g Q' <br />PAS 0 PERMIT SERVICE <br />813-788-5314 <br /> <br />SUBDIVISION ~~~tc6 Oaks <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # :14:. "''2...\0 _ <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br /> <br />0000- <br /> <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J ADDITION <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 /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 5 (!,Rc &/V <br />I <- <br />BUILDING SIZE /0 X I ~ <br /> <br />LiJRf(s <br /> <br />W1t.1f"r to X I s1, 11.<:1 <br />,J <br />/;).0 HEIGHT <br /> <br />C:-,<..r POr -t--n <br />, <br /> <br />SQUARE FOOTAGE <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 />~.BUILDING <br />[J ELECTRICAL <br /> <br />$ 750/ 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDER <br /> <br />~w~~ <br /> <br />COMPlWY Jt1('tfc::.. Lv (;'(1:4~ s CnPS 7~c-;el;~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 3(., .2 <br /> <br />SIGNATURE <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />