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<br />l <br />/- I I e,t:J <br />(/t....\ <br />f (ol~ I c ~€ ~S4-"f <br />l (~~~ ~ffl <br /> <br />O~AME 2;p,{y/j,/~ <br />JOB SITE ADDRESS 0 <br /> <br />, <br /> <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RBCBIVED <br />PLANS <br /> <br /> <br />II/;r.;(~ <br />Z eJe 57 <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 />~TERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~ERCIAL <br /> <br />[JMULTI - FAMILY <br /> <br />[J# OF UNITS <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK (?.Joc...~t?: '2 ~ ~/S.71~4 ~\)""""7 KIL=A-DJ ~~&;:) ~c...... <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />o ELECTRICAL <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS.('(>91~ ~ <br />REQUIRED FOR ALL NEW CONSTRUCTION. _ f :5.~' . <br />1'1//0 I < .--;-- <br />1/0-- . (P_ <br /> <br />PERMITS REQUESTED fll-f- C'9 ) f1A-. (TJ, ~ / <br /> <br />~.10 ~ VALUATION OF TOTAL CONSTRUCTION 7;; j( ~'l . <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. ~~ <br /> <br />~ IJ I O~~~-Ccq/,-<<- <br /> <br />+t> r 5"2...0 ~ VALUATION OF MECHANCIAL INSTALLATI&- I. <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />ErC)THER <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 AREAO YES D NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />************************************************ <br /> <br />COMPANY W,~ fAJ'TdVl F:~e- )pI21Nk.(er.J <br />STATE CERT OR REGIST # X~I t?5booo/oQ <br />CITY PROCESSING #. ~ <br />-:<3 (? /1 - <br />*****************************************~. ~j?*.!;~~~~..~~~~~~'~ <br /> <br />~ ~~. /~ (5'Z- 'c~'~ <br />