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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS. PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATE RECEIVED /I-:l. ? -7)1 <br />PLANS REVIEW PEB <br /> <br />OWNER'S NAME I' j} <br />v''p'Ao-v,- <br />JOB SITE ADDRESS L...1 <br /> <br />//. 1 - ~ ,--V <br />""I ~-- <br /> <br />PHONE CONTACT <br /> <br />--; I 375;U> Ne'-.J /-/DRI ~h <br /> <br />bll/rP. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />( <br />6-A~N; fI.;./?I'" .....J <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI - FAMILY <br /> <br />[J# OF UNITS <br /> <br />Cl'i.iiOBILE HOME <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK )1"1 /7 se:;f- f <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 />I:a BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[}-ELECTRICAL <br />I3PLUMBING <br />~ECHANICAL <br /> <br />AMP SERVICE <br /> <br />~LORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />LJ ~=n-2e$t.) <br />I <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLECTRICIAN <br /> <br />SIGNATURE <br /> <br />---;:-'fX-' <br />uJ ~--/l--ie ~ <br /> <br />COMPANY J4.c::.."<- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY JJ..:.::ll;#;j <br />--P7Il) STATE CERT OR REGIST # <br />(,) 7~--V:iJJL~ CITY PROCESSING fi <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY /}<- <'-- <br /> <br />J 'r-' ;;~) ~~~E P~~~~S~~N~E:IST fi <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />