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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHXLLS. FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RBCBXVBD 9 -/1- (';) / <br />PLANS REVIEW FBRc-::- <br /> <br />OWNER'S NAME u.-J 1'-L-I/f7YJ /J/tO!C-/Co t-t.J <br />JOB SITE ADDRESS 3~ '2--0 C--OPcL-/f,(/..h J:>R. <br /> <br />PHONE CONTACT 8'/.3. '71:5'.00/0</ <br />~/'j'/fV.I/C L~, ?"""L. :3 3:5>'}/0 <br />/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ;;: <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br /> <br />~t> (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />D ALTERATION <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(J SIGN <br /> <br />o MOVE <br /> <br />(J DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />(J# OF UNITS <br /> <br />(J MOBILE HOME <br />(J OTHER <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />DESCRIPTION OF WORK E)CrG/J5/~A..J -rv F/lt3t2/C4 7/~tJ 5HO? <br /> <br />AtO F ,/, /~ "', /' 2-t:./ /' ""'0 <br />BUILDING SIZE 7' ^ ~C/ SQUARE FOOTAGE ~~~ HEIGHT <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. . 0 ~ <br />REQUIRED FOR ALL NEW CONSTRUCTION., _ D I ( 1\" h~ () + <br />t I p;Dp,- rr I~'~ ,A)I/ ~ <br /> <br />PERMITS REOUESTED ~."..... O~'t> ,q~ fP" <br /> <br /> <br />$ I~m~. :S.::::TION ~F ::D:O:::C~W'~~' <br />. ,,'" ot( 13 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION ~dl <br /> <br /> <br />/f <br /> <br />:20 I <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />o PLUMBING <br /> <br />(J MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />~EEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />IS PROJECT <br /> <br />frNO <br /> <br />*************************************************** <br /> <br />COMP1!.Nyj)/lt//L) Wr \/lJ//,USt>,A) <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J 9; <br />/ <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />BLBCTRXCIAN <br />SIGNATURE 1<~..~.t4v~ ~ R- <br /> <br />COMPANY r-GG 6&GCTf2 { C <br />STATE CERT OR REGIST # Sg.cOC"flo4-C1 <br />CITY PROCESSING # \~(~ <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHANXCAL <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 />