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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED 8//7/t1 t <br />PLANS REVIEW FEE- <br /> <br />OWNER I S NAME F L. () fZ. ( D J'J <br />JOB SITE ADDRESS 18/35 <br /> <br />UE- 0 I C. A L Co L (u ( c... PHONE CONTACT <br />~ R ~ ~E- r S ~ t.lIt1e.-e I "2 -/-Ii 1/ 5 ;: I 3 3 S'1'- 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~ERATION o REPAIR 0 INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />~HER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 1400 Oil. ()FFtU-S ""IV/) l!)t'~ ~S iD "'~t..t'J6y J')~r. <br />BUILDING SIZE SQUARE FOOTAGE /98t:J HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENE~GY FO. S~\. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS.~)ql ~ U~ <br />REQUIRED FOR ALL NEW CONSTRUE7:0N. I~ ... :;' ~ If!? rY \ <br /> <br />t~ {1Y'~1'5' ;J'; ~ 10\ <br />PERMITS REQUESTED 1J"~~.Jo.J( ri~ ~ \ ( <br />~/~'.1 1,(y'J "'~ (\1 <br />/ 1-" 9 (/ ~ VALUATION OF TOTAL CONSTRUCT~' tJ. '\ <br /> <br />~ILDING <br />6~CTRICAL <br />~UMBING <br />~CHANICAL <br /> <br />$ <br /> <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~CK <br /> <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />PLUMBER <br /> <br />BUILDBR f}4 . COMPAN.. Y N/N.SIJA/ ,aU ~~~.v? t],;e( <br />l.. II ~ STATE CERT OR REGIST # Go 0 11-50 <br />SIGNATUR U/I ~ CITY PROCESSING # J9;< ~ !-. <br />I vV <br /> <br />BLBCTRICI ~****~.P7~*~:::::**;;;;**;;.~;::;;;;~*~,"- <br /> <br />~ ~L G 'i""Vl r STATE CERT OR REGIST # ~ 1:6..' <br />SIGNATURE {/ / <..::;:T L!:::I ~q rei '- CITY PROCESSING # <br />... )1) v./o K <br />*****************1?************************.* ****J:*****~****** <br /> <br />V fYcv.; COMPANY Si4jka {1}-.,1.o '''':"j ~flJ'11. .1-lAc... <br />. 1/ L ~ STATE CERT OR REGIST # CFCO S(.. 55'2.J.. <br />'- 6 LA/v- CITY PROCESSING # ~f~bf!-. >> <br />V f'l(,w <br /> <br />******~~******************************************** <br /> <br />~ L4t/D COMPANY 8~I1TUAJ line, ;r~e.~ <br />~ STATE CERT OR REGIST # <br />III ON l - ~_TY PROCESSING # L?2~ <br />~T /2.; 00 /z <br />******************************* * *********** ** *** ~**** <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />