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<br />OWNER'S NAME F~"",c.is ~}f;el{ <br />JOB SITE ADDRESS ~d.l C} Ie+/, <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATE RECEIVED /J- g..tJ7'J ( <br />PLANS REVIEW PEE <br />C:!'3) <br />PHONE CONTACT <)r~- 8" I 3 <br /> <br />2e ~J.v, ;1:/5'.) Pt:...- <br /> <br />~ <br /> <br />->7~-r- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 1/" a.f-" d l.~.' () - lis 11f!> - 008'0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[B"'INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />[JMOBILE 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 ~/ ~ ~ A;/jJ~,'",*","'k !lie- (!~7-t>t/-t- <br />BUILDING SIZE SQUARE FOOTAGE HEIG <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 />r~ <br /> <br />PERMITS REQUESTED <br /> <br />!~"L 1- <br /> <br />t/~- <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />~ r~Df). ~. <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <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 />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 /> <br /> <br />********************************************~********************~ <br />COMPANy\..Jmtl;y #,:y;-r41f~~ ti.rJ-lan)j9 /!~ <br />. STATE CERT OR REGIST # tYA~O ~I"rl <br />CITY PROCESSING # ~9 9f' <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 /> <br />'; <br />