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<br />^ II <br /> <br />('J;u'1' c \ <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION . \ {-5~ <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RBCBlVED /6. Z I.{ - () I <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME ~~es -r- ~q;A $(" ~cPk <br /> <br />JOB SITE ADDRESS >39'~ 31 tj/wCiI"'TZ .Or <br /> <br />PHONE CONTACT 9'&'/- ~:2f/ -3/..72- <br />I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />;It! <br />, <br /> <br />BLOCK ;,2 tr <br /> <br />SUBDIVISION <br /> <br />') j <br />, <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br /> <br />- ()6~{;j - -Coc;e-v - t:. D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH <br /> <br />Hfd~r ~",T <br />/r::2 1<'.;;2 :3 <br /> <br />DEPARTMENT APPROVAL <br /> <br />/3 } r;, J J <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE / / L/ L/ <br />, <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~LDING <br />~ECTRICAL <br />~UMBING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <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 AREAD YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />BLBCTRICIAN <br /> <br /> <br />********************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY /ytC( ~7c,-,t..j Hec.~ <br />STATE CERT OR REGIST # <br />CITY PROCESSI~ z., ~ <br /> <br />***************************************************************** <br /> <br /><-1)j u:!-- <br /> <br />PLUMBBR ~ COMPANY /:Jail Fh ~//t!/ A- ~ <br />~ 2:~A'/ / STATE CERT OR REGIS.'!' # <br />SIGNATURE~~ L.. ,,~vr CITY PROCESSl7dfJ2 <br /> <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTB&R <br /> <br />COMPANY <br />S'J'1lf71!/' ~ Otr 1t/!It'n:!rT , <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />- ---Ln <br /> <br />I <br /> <br />I <br />