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<br />I <br />.f <br />.. ItJ/~lC/ I <br />LuilltJ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 9- /JLL_ 0 I <br />DATE RECEIVED _ -' L <br />PLANS REVIEW FEE __ <br /> <br />OWNER'S NAME \ Q )fb.UO<t- ~'t} s~1"(' PHONE CONTACTY/3'~ 7/5"': 60/90 <br />JOB SITE ADDRESS ~-9 07\ ,;/lj!! Cf!.e'S'r uJ7 / ZrIl/.45/FL, 355& <br />LEGAL DESCRIPTION: LOT(S) {I BLOCK SUBDIVISION OA;I'ZC/&!1'r i?5'719-rCfS *2-- <br />- 0 '0-00000_ tJ/lO <br />PARCEL ID # 0 Z -26'- 21 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: B15E'w CONSTRUCTION D ADDITION DALTERATION D REPAIR 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 />DOTHER <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />$--I AJ u t.-G FFrMI LV P 06 t.-t:-/ A.J b <br />SQU~E FOOTAGE 17 r b-- <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />g'f <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~UILDING <br />6ECTRICAL <br />~LUMBING <br />~HANICAL <br /> <br />$ (P5: t:JZ)l). ~ <br /> <br />, <br /> <br />:J-C) 0 <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />'-/Z~ <br /> <br />PERMITS REQUESTED <br /> <br /> <br />--- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />D <br /> <br />W,R,E,C. <br /> <br />D GAS <br /> <br /> <br />$ 3; 6l5D. ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />t/1'3 <br />.4/0 <br />/:JJ <br />~ <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />YES ~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY ~~i\{ QAU ~\?~,m\)l('~ <br />STATE CERT OR REGIST # r.Q1)OO ~,eva <br />CITY PROCESSING # 2'15 IJ/( - <br /> <br />********************************************** <br /> <br />PLUMBER /J~.. 1~. COMPANY ~/bV '!()Yf1t%' fll/flJb:ng <br />1/. ./ ' // / . STATE CERT OR /REGIST # R F - tJOtb '1 {1 <br />SIGNATURE ~ ?(/~_. \, CITY PROCESSING # 110(, <br /> <br />*** * ********' ******r..**********************r:!i~**W*4J*C::f:."J*~f**Pt~. X' 'Z.:i).~ <br />MECHANICAL COMPANY ::5" 0 /Z"..t/',( 's <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />************************************************************** * <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />