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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 /) <br />DATE RBCEIVED "L- ,:I t.. 0 J <br />PLANS REVIEW FEE' /"'-- -. / <br /> <br />OWNER'S NAME a/ZAIuIJ fkJru Z~f/ m If, f , <br />. <br /> <br />JOB SITE ADDRESS 37530 J AlJPI5 I.J.v~. Lo r /02- <br /> <br />PHONE CONTACT 7t"z - 10& 'f <br /> <br />SUBDIVISION bflAvCJ float ZIJ"J 1J1.;-J /f <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 34--25 - 2( - VDID <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />02-500 - 0/ D2- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[Y-imDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~ LlW;?/N (/ ~ <br />IBQTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />IV\. <br /> <br />I Z x <br /> <br />w <br /> <br />SQUARE FOOTAGE <br /> <br />1Qtz-.. <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />[B'13UILDING <br />&"ELECTRICAL <br /> <br />$ 1/ I '7f'. (os <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. tvlilE 5H-';P <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 AREA 0 YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~ A .rYJ.Ji2 <br /> <br />COMPANyB ~'l+ c 0/>1 ~1/U.Jc.:1/ o;J Of=- Q3JvrfUr<- FL, <br />STATE CERT OR REGIST # COco 57'7 Yl- <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />~ /). <br /> <br />t1JJL <br /> <br />COMPANY I/-GE [:w: G-TLl c. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # If',? <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />HBCHANlCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />