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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPRYRHILLS, FL 33540 <br />Phone:S13-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME / ~Dv.I fJ.flo ~ V E LeO/}- C tDS g Y <br />JOB SITE ADDRESS 37 fo '3 I LIJ/I/Ol5 Jj.VE /-.or ~" <br /> <br />PHONE CONTACT~I'S -7! z -lOG 1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />CfAI,It/ f/o (L / 2o;V fJ'7f/. p, <br /> <br />PARCEL 10 # Ji/--)!; -~( - 001 0 - 02~OO - 0 tf00 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />(H-nfSTALL <br /> <br />DSIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS 0 MOBILE HOME <br /> <br />o SWIMMING POOL ~ER <br /> <br />f!LYtrVN..//Yj P I+.c../'..fi(:;('; <br />~(L ruuv,=: :JJ f3 <br /> <br />oft t ->;fFp <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK '0 <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <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 />UY1fUILDING <br />[l('E;LECTRICAL <br /> <br />$ <br /> <br />/1J,f:JOOr&U <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />D <br /> <br />W. R. E. C. WIf'lK- 5HP.J <br /> <br />[J PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[J 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 AREAD YES [J NO <br /> <br /> <br />COMPANy$4'H (()/v'<;rfU<-rINV of (F../IITPk- Fe , <br />f7 11. () I) j) STATE CERT OR REGIST # C&.o 577 d" z- <br />~ t{ - ~ CITY PROCESSING #, ;Z~ <br />V <br />****************************************************************** <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN COMPANY /Ie c r;LE clf2-t ( <br />o t/J () /)..J / STATE CERT OR REGIST # <br />SIGNAWRE ~~ H, "~ . CITY PROCESSING # i fJ <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 />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />