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<br />, I 9l./ CITY OF ZEPHYRHILLS" PE~IT APPLICATION <br />~. 0 ~ UILDING DBPARTMENT 53358~ STREBT ZBPHYRHILLS, FL 33540 <br />, , Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED <br />\J , h...L ~ l'a @ PLANS REVIEW FBB <br /> <br />OWNER'S NAME -~"-rltt '- '\'~ S PHONE CONTACT ;/113' 113Y <br /> <br />JOB SITE ADDRESS 526 \ h~' S\. 2+''\,(\\. \\$ \'"B, ~t..t \ <br /> <br />LEGAL DESCRIPTION: LOT(S) \j2- .~ ~ BLOCK \~\ SUBDIVISION <br /> <br />PARCEL ID # -' \ _ 2.l.., _ Z' - bh\ (,) _ I ,3 \ \:(:> _ (--::t:.) \ 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY-DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~C' \~~'l_ \ll<' ~D.-~(,) C'~ ('121~- \D.v.). 'S~ r--C-A.A-._~ <br />\ \ <br />SQUARE FOOTAGE ~ HEIGHT S:~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BUILDING SIZE <br /> <br />PERMITS REQUESTED <br /> <br />S\ ~R.R.. <br />-lJCI- <aC6~2 <br />LfSD - cP,.YL~ <br /> <br />t2rBUILDING <br />g--ELECTRICAL <br />~~BING <br /> <br />c:J"O <br />$ \3 tho - <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />~MECHANICAL $ <br />o GAS J~FING <br /> <br />U() <br />37~O- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ 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 0 NO <br /> <br /> <br />BUILDBR ~ &:; COMPAN;R'..,. '3 G~ ~~ ~, <br />.-2 4 STATE CERT OR REGIST # Co, ~~~~2B ~ <br />SIGNATURE ~ ~~ CITY PROCESSING <br /> <br /> <br />*************************~~*************** <br /> <br /> <br />BLBCTRIC~. 1 <br />SIGNATURE ~ <br /> <br />************************************ * <br /> <br />PLUMBER <br /> <br />SIGNATURE~~~~~ \~~ <br />\. \ <br /> <br />************************************ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />************************** <br /> <br />OTHBR <br /> <br />f).,J\~ <br />, \ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR EGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />