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<br />OWNER'S NAME --D:)l Llt'pS /.,~ - C l QCL~ ~. <br />JOB SITE ADDRESS S8SS G~ ~O <br />LEGAL DESCRIPTION: LOT(S) l\ "2-~ BLOCK ~ <br /> <br />\~,... <br /> <br />eo,D - cd)oo-~' C}o <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 'I_~ I <br />DATE RECEIVED It ~~ <br />PLANS REVIEW FEE' ______-- <br />.~ <br /> <br />~s <br /> <br />PHONE CONTACT <br /> <br />SUBDIVISION ObIO.:. 6eF}cn - 0190 <br /> <br />PARCEL ID # t \ 2~ Li <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <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 />~ COMMERCIAL <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />)(OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OP WORK Q"'.""""liA- q"-1;.41 WiG 2~ ~ 4 ~1r <br />BUILDING SIZE 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 />o BUILDING <br /> <br />$ <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 />~MECHANICAL $ <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL ~ OTHER <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL & - <br />SIGNATURE A ~ t.L- <br /> <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR R <br />CITY PROCESSING <br /> <br /> <br />5t1l..Jl <br /> <br />,.. <br /> <br />*******************************************~********* <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # PCGO~5"O~'2- <br />CITY PROCESSING # ~~ <br /> <br />***************************************************************** <br />