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<br />l~~fed 11- ;;'0-01 q <br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~ '. . ~__._ <br />BUILDING DEPARTMENT 5335 8~ STREBT ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECBIVED 'I -15- () ( <br />PLANS REVIEW FEB <br /> <br />OWNER'S NAME r,' rt!' I- IS A ~ 7', c I C It ~ ~ c l~ <br />JOB SITE ADD~&.~J ~ ~v--.J.!' ~ ;:,-f-lt: /lve, <br /> <br />PHONE CONTACT 78 ol. - (!J 7" '7 t:? <br />;z~,o tl y/~ h :/ /~(' / ;C /' .t ~ -.e-..y / <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 11- J 6 - J / - (} C1 / 0 - I,J' 6 d f/ - (J CfJ , 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~ALTERATION 0 REPAIR 0 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 />~COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Lv;/ c:. If ,'Ji t:: ,f:>e iAA t ~ /N Q - h cI Pw , .,,(,,/ (l tL- ~ V v.> d / / d1 /v ~ <br />/' '/" ,r <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o BUILDING <br /> <br />. - tJ~ <br />$ ..s / -Y&CJ .::.--- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o 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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER , <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />COMPANY Jd i N i-. s: vI.? ' '/ /r (} t1 ,,~.c r: <br />~ ~ ~~ STATE CERT OR REGIST # elSe () s- '9..r 17' <br />SIGNATURE - ---;c- ~~ CITY PROCESSING # "299 I ; <br /> <br />V7 *****************************************~~~*~~**::*~l:~** <br /> <br />BUILDER <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />