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<br /> <br />\ ,\ <br />f. \ Q)','. 0' <br />VV- -lc/ <br />, \ <br />D <br />\ <br /> <br /> <br /> <br />OWNER I S NAME <br /> <br />JOB SITE ADDRESS <br /> <br />\ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540 ~ <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED /f) - r - 0 I <br />PLANS REVIEW FBB <br /> <br />PHONE CONTACT 771 ,. ,< GJ 3 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />Ib <br /> <br />PIJI <br /> <br />~'0Y <br /> <br />WORK PROPSED: <br /> <br />SUBDIVISION <br />, cO/a <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~ILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />""" <br />o MOBILE HOME <br /> <br />o OTHER <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />rcXrJI-(~f' (qr- fo!"/- <br /> <br />SQUARE FOOTAGE I G 06 ( <br /> <br />D <br />DESCRIPTION OF WORK -Re - (5"",'1 d <br />BUILDING SIZE 'fa K ((0 <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~ILDING <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />R au r <br /> <br />HEIGHT <br /> <br />qr <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 />$(000.03:- <br /> <br />....:..;..;;,;;.:.;;. .."..:~... ----._...-~._-._- <br /> <br />", <br /> <br />V~UATION OF TOTAL CONSTRUCTION <br /> <br />.._-~ <br /> <br />AMP SERVICE <br /> <br />W.R.E.C. <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />ONO <br /> <br />~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />