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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 -, J /. <br />DATE RECEIVED 1. U fa _ Q ( <br />PLANS REVIEW FEE' <br /> <br />OWNER'S NAME &RAAlO ;J fZI7 g;./ /Yl-j-l ,p , <br />JOB SITE ADDRESS IV8JKo/VI.. J) liE <br />. <br /> <br />Ll9r <br /> <br />PHONE CONTACT f]rrz - /()01 <br />I'-I-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />C RANk? f..I~lZfZf)Ai /filii', <br /> <br />PARCEL ID # ]4-- :2-5- 21 - DOlO <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o zr 00 - 0 J I.fb(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />~ER <br />/J L c./qt J N~ <br />CJ RESTAURANT & HEALTH DEP~TENT APPROVAL /:) <br />tfiilO) .0 /Fi"d ({}:1Y <br />JO)(IL( ~,SC/l~aJ P-IJcW\.; 16)({ C41l/Mr; {fJy'-r(SH/eo jIUJJUl/JMr <br /> <br />SQUARE FOOTAGE f 3 ~ HEIGHT \. <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />'" <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 />[M"'BUILDING <br />r:ErELECTRI CAL <br /> <br />$ IDQ9j. b'O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. w/~ SH~ <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~ II, f1M <br /> <br />COMPANY iW ({)N~nl(X-n I IV t)F {"CtVi/"M<... FL, <br />STATE CERT OR REGIST # ('Bco J:;?'7J'-L <br />CITY PROCESSING # ~~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ 1+, ~ <br /> <br />COMPANY /k..c t:U;Cn21 c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~****************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />