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<br />OWNER'S NAME 'R (J ~~ <br />JOB SITE ADDRESS _~ g S i , <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVED 9....;5:0 I <br />PLANS REVIEW FBB . <br /> <br />PHONE CONTACT '7t{g-S8/~ <br />f?,zsco Po--~t {- - <br />5'er-V{(G <br /> <br />l ~R e.. \ \ <br />l \.H-, a~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />II <br /> <br />CJCJlb-~~.3 <br /> <br />BLOCK I~ 6 <br /> <br />SUBDIVISION d / <br /> <br />PARCEL ID # <br /> <br />1")0- ellS- <br />M. ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE:~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />~ER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF <br /> <br />o RESTAURANT <br />WORK 1tJ.u; - P II- Ti 0 <br />f) d.. V;-9~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />{(co F / A-Jt/d s i J4b <br />SQUARE ~TAGE ~~tf <br /> <br />l1e/,;: 1/ /It;. <br />HEIGHT /0 I -10 <br /> <br />91 <br /> <br />BUILDING SIZE <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 />~BUILDING <br />o ELECTRICAL <br /> <br />$ 30tl. ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 />~ER A--IUHt/nt<~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br /> <br />SIGNATURE <br /> <br />IJ. COMPANY _])JW;::'s #f ~"" '/VU"",, <br />. :Ie ~ . STATE CERT OR REGIST # R /'} ~ 6\ / ? q <br />'A/J-< ~fA'~ CITY PROCESSING # 29 J t2 <br />I( <br /> <br />****************************************************************** <br /> <br />BUILDBR <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />