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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RECBIVED <br />PLANS REVIEW · <br /> <br />.... <br /> <br />. (lJ <br />~;';;" <br />~CJ <br /> <br />OWNER'S NAME E};ZIl.bet~ r 51'1C~ <br />JOB SITE ADDRESS (p/33 ?/t:'ASA-,(.J+ Sf. <br /> <br />PHONE CONTACT ~/3. . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Q kKK I 'Je. <br /> <br />PARCEL ID #Ct;:J- ~ QC,-,;;).!-c::>ec;)O -OO,3t::';;o -00 Ie; <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />[] MULTI - FAMILY <br /> <br />[]# OF UNITS <br /> <br />iii MOBILE HOME <br />[]OTHER <br /> <br />[]COMMERCIAL <br /> <br />[] INDUSTRIAL <br /> <br />[] SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />k -I;~..p S/~'t:'- f'ly f'lv.i./,e/t, /"YJA'_6/ihVf2.. <br /> <br />.:2 1(, () <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />[] BUILDING <br /> <br />$ <br /> <br />L/359.7? <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />MROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK [] FRAME <br />FINISHED FLOOR ELEVATIONS ~;I~ <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDER <br /> <br />COMPJ.WY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE PItT <br /> <br />****************************************************************** <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />A/ / /l.- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />,u I' /J- <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 />SIGNATURE AliA- <br /> <br />***************************************************************** <br /> <br />OTHER :LvviuCi6/ t:- 1I-5".$i?C . <br />SIGNATURE .~.{ v{)"M. <br /> <br />{t3I".A;P .<;;,.fov<<- J <br /> <br />COMPANY :Z;,.ur;.v~./blp.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />!Js:s-cC <br />CCCo tlJ(;' 7 <br /> <br />***************************************************************** <br />