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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STREBT ZBPRYRHILLS, FL 33540 <br />Phoner813-780-0020 Faxr813-780-0021 '7 / / <br />DATB RBCBIVED . /16 / 0 ( <br />PLANS RBVIEW FRR <br /> <br />OWNER'S NAME bi2iMI/l J-Ioll( 7~tV m .H. f, <br />JOB SITE ADDRESS (V'&.Ut:t>M.. f) V~ <br /> <br />PHONE CONTACT f/tf2 -/6(, Lf <br /> <br />~7" /1f7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />tbbtN,9 f/o~( Z 0/,/ <br /> <br />WORK PROPSED: <br /> <br /> <br />'2--$"00 _ o/1f7 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />D# OF UNITS <br /> <br />D MOBILE HOME <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />~ER <br />fJ Lu,n I f1/JNL <br /> <br />~ <br />, Z-~ ~'1 c/.J.dblZ"r <br /> <br />DESCRIPTION OF <br /> <br />/:if) D RESTAURANT & ~TH DEPARTMENT APPROVAL <br />r~/ 12'1./l ~ av <br />WORK )c.(l.tiEtJ. &t!>rYl I .r X ? 5fJ(~~. 'k. g> !JllffzfW!J Y J <br />, / / <br /> <br />SQUARE FOOTAGE <br /> <br />s; (,L(- <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[9""BUILDING <br />~ECTRICAL <br /> <br />$ <br /> <br />g;/Po. O~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. t.J1(lf.: SHEp <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />~ ()~ ~ <br /> <br />COMPANY Ftft {DN>,rfGvc4JW OF CCMTZIIL FL, <br />STATE CERT OR REGIST # CBCvS'7'? ,r2 <br />CITY PROCESSING # :2" <br /> <br />BUILDBR <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ 4, aAJ2. <br /> <br />COMPANY Ijcc: pL-?C T(lt c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**********~****************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHRR <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />