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<br />'. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVED 9 -/0-01 <br />PLANS REVIEW PBB <br /> <br />,. <br /> <br />OWNER'S NAME G-f'-,1'V'" J <br /> <br />JOB SITE ADDRESS <br /> <br />L...I <br /> <br />I{(j^r-"'~..J <br />l'Irt tV C':y t<( C .-1 <br /> <br />PHONE CONTACT <br /> <br />14 c.I ..:.- <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 />[JALTERATION <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 />aM)BILE HOME <br />[JOTHER <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 <br /> <br />M.j-I- <br />"7... '/5'Y<.t 7 <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o 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 />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />SIGNATURE <br /> <br />Ir .~W'-,..- LJ~ <br /> <br />COMPANY fJ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~~ <br /> <br />BUILDBR <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br />SIGNATURE L,,}..,..-- .L14t:1f!J <br /> <br />COMPANY /1<:: ~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /># <br />I!/ <br />, <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />,tJ CY-L1~tr/z!:t1 <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # ~ ~ <br /> <br />d1L-tU <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY /fc. c- <br />, ,~ ; STATE CERT OR REGIST # <br />t.c..J <~fl~ CITY PROCESSING # Y.3" <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />