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<br />OWNER'S <br /> <br /> <br />(~'lJ7.J.J. U-fl-Cf ff <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION~_. _- <br />BUILDING DBPARTIbmT 5335 8~h STRBBT ZEPHYRHILLS, FfAj)$!RBEI=lMrfsERVICE <br />Phone: 813 -780-0020 Fax: 813 -780-0021 813-;'88-5314/1-:;" ..0' <br />DATE RECEIVED _ I' - .3/-0 I <br />(!e L( PLANS R~I~.!EE C' <br />'1 fO ---<::::::;., j>l) r 7 7 <br />~ 3 c.:t f A(;F-..~./' ? '1 <br /> <br />~('~z..7Id PCJI,J <br />eu/lflT2.- <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />R<v. ~s. v'-..5r <br />~--~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # V' <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br /> <br />- aa;o- <br /> <br /> <br />::If <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 1f/tn:r PAt1T1." ....~.mLLI;t.IG <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />[RQTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Vkh .1j <br /> <br />"'2- <br /> <br />iN 0 -lOA t. u...... <br /> <br />i) 0 tur <br />f <br /> <br />BUILDING SIZE (~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />(4 <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />WBUILDING <br />1& ELECTRICAL <br /> <br />$ .V'. /2 OO() t"SVlVALUATION OF TOTAL CONSTRUCTION <br />'. / <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <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 />~FRAME <br /> <br />o STEEL <br /> <br />if OTHER t:LIurn/nt.<.~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUXLDBR ~ <br /> <br />SXGNATURE9 ~ -~~ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY V" t!) Lt., A/~ V <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTRXCXAN ~ <br />SIGNATURE C').I/ . <br /> <br />COMPANY.../ OW,1-e ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER. . /7~/ COMPANY ../ C{,lJi1..ev <br /><.. I / I // - ' STATE CERT OR REGIST # <br />SIGNATURE ~/ 7Y c-a . CITY PROCESSING # <br /> <br />~***************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />