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<br />,1 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION e::Ji~t fl-'tA:( <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RECBIVED 1/ - 7-01 <br />PLANS REVIEW FBE <br /> <br />OWNER'S NAME Vie ~ l ~ \ l\ Tu R~ €l2.. <br />JOB SITE ADDRESS c;... (, ~ PIS rA C H (0 <br /> <br />PHONE CONTACT 7 7q - ~2S4 <br /> <br />SUBDIVISION J)i< I f41UcoJ::> Prlfl6F. .JI--A <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # o~ 2.~ 21 0.24 a. 60000 0010 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J SIGN <br /> <br />~ ADDITION <br />[JMOVE <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:tiQSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK RODi':::. 0 1f61Zs <br />7;(,..2 7 ' <br />BUILDING SIZE "-4? 1 ~ Vr <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~f10 <br /> <br />SQUARE FOOTAGE <br /> <br />I gq Sq F-t\ <br /> <br />HEIGHT <g <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 />~ BUILDING <br />~LECTRICAL <br />[J PLUMBING <br /> <br />--- <br />i/ $ '1. f300. GO <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />~ FRAME <br /> <br />[J STEEL <br /> <br />INSTALLATION ~. . n5q~ <br />,_ (jj'" t7- <br />/(-2 . <br /> <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />o OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />~ NO <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />COMPANY S ^,"J'\,o1 ~ <br />STATE CERT OR REGIST # C i2 CeJ -49 2.0 <i <br />CITY PROCESS~' "Q.fJ 9 2 <br /> <br />SIGNATURE <br /> <br />tJ~~ <br /> <br />ELECTRICIAN f ~ COMPANY IIp))6/J) <t-JKj (;' ~---c."r I <br />(1/ STATE CERT OR REGIST 1t.~, 0 dO I ~.:s (~ <br />SIGNATURE 1\..J2.^f-. . CITY PROCESS::"G ~ Z <br /> <br />*****~**************************~*~f*~f~;;}tQ~ <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 />