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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING D:a:PART~NT 5335 8th STREBT ZBPHYRHILLS, PL 33540 <br />Phone: 813-780-0020 Pax: 813-780-0021 r1!26/o ( <br />DATB RBCBIVED <br />PLANS RBVIBW PBB <br /> <br />OWNER'S NAME Iffl t4/4,-z.J/, Po.vqtte'1'ffYl'1.'tKil16 ~~5 INc... <br />JOB SITE ADDRESS 375' rJ... (!of <:::... (~"lJ? /) R. , <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />ErfNSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />[JMULTI - FAMILY <br /> <br />[J# OF UNITS <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />[J INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />5<::.'1- I ~IOG>O GH(QI1 O{5f)~nS?-L.~ r~~ l<eIrtl t>,KfI, ' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <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 />[J BUILDING <br /> <br />$ <br /> <br />.er <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />1!3"'" 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 />~TEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br />i:/ lj'7- 426" <br /> <br />ONO <br /> <br /> <br />BUILDBR <br /> <br />[} <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUHBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />KBCHAHICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTBBR G~ "5 <br /> <br />SIGNATURE' ~OOc.viA, <br /> <br />***************************************************************** <br /> <br />COMPANY )..{o l/It S/ ~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />?~C)fJ#N ~ <br /># . 1767 <br /> <br />***************************************************************** <br />