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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 8th STRBBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCEIVED /1-/9 - IJ I <br />PLANS REVIBW PEB ' <br /> <br />OWNER'S <br /> <br />NAME A/~~M1 c)1~ 67M/If./!,HONE CONTACT <br />ADDRESS __ S ! ?./ . _~ j2,~ <br />~. S BLOCK :2.A <br />03 - :;Z~- :2 /- {X')/o- C> / 6 ()()_()(Jt)(f)OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB SITE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />~,( <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />[]# OF UNITS <br /> <br />D MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />[] INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />N OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />F/;,/sl-t ~cff' e>+ Kt-6 kl2- (/faRe/( <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 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 />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />D 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: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************l******************** <br /> <br />BLBCTRICIAN ~ COMPANY 2-\.-\,,~s "" '-"'-7. <br />& G STATE CERT OR REGIST # o DO?-.l C,S- <br />SIGNATURE - -! JJ CITY PROCESSING # ~ ') , <br />~ Cf/? <br />****************************************************************** <br /> <br />d COMPANY eJlIf-J MJI ~ jJ k 11.b,'A.16 <br />/1 :~~ ~L STATE CERT OR REGI;T # t:009t's-f8- <br />, CITY PROCESSING # . JA <br /> <br /> <br />****** *********************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />1(. <br />