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<br />\\(l,J <br />0~ol1JD I <br />\ <br /> <br />~ CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED <br />PLANS REVIEW <br /> <br />BLOCK <br /> <br />9/2S/~; <br />FBB ' <br />8'3 <br />PHONE CONTACT <13?J -I3:::z.Q. <br />ZE PI.)..,/, /L~ /UH. J 3.r-tjfJ <br /> <br />.J-I <br /> <br /> <br />J;; JJ,.J Bo LEN~ <br />JOB SITE ADDRESS .3 'j ?-'/"J- rf t>-"f 77J- .A--14S <br /> <br />J3 <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />.)-(, <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />CJdlt>- <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />DESCRIPTION OF WORK <br />~ ,.,.., <br />~ILMN\!l SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />--11.Ns~~l f(d_~~ <br />2, '1 .,L J t.t ~_ <br /> <br />SQUARE FOOTAGE <br /> <br />~-rJY <br />31B <br /> <br />HEIGHT <br /> <br />9' <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 />?J Ifo/ <br /> <br />Qif <br /> <br />5t BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />~ () ~D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER ~~ <br />- STATE CERT OR REGIST # C G ~j 0 Ga..-a 2,.. (. I <br />SIGNATURl3,l CITY PROCESSING # ~(;J/!f <br /> <br />********************************************************* ******** <br /> <br />ELBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <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 />