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<br />~J!ut {?-' 5'c( (k <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION'-------_~) <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 1/_ /}(/_,).( <br />DATE RECEIVED LL 0"'- 2) L- <br />PLANS REVIEW FBB __ <br />...----.-..- ,~ -'- <br /> <br />J... () U l-S E H EIfZ- () a- PHONE CcGACT ~(.s -11-9 -3 J, !J~ <br />AI-.(J/-JIJ -1/1ENUt. ZePH p;eN/L~1 fL 33S'C;6' <br />LEGAL DESCRIPTION: LOT(S) I' b'3 BLOC~/1:~;;--SUBDIVISION AL.frltJ 1I/1..J.A4-E ESrATCS <br />- P ItM.c ;l, <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER'S NAME AM V <br />JOB SITE ADDRESS 3gS33 <br /> <br />PARCEL ID # J~ J.S'rJ.1 0 O~ A Ot>oo 0 15'30 <br />WORK PROPSED: DNEW CONSTRUCTION )(ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Ittt~CJ^ed 5Q ree.n (-(00 m <br /> <br />BUILDING SIZE J ~ ')z 1&/ X 8 I H SQUARE FOOTAGE /9 J. .sf' Ii. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />g/ <br /> <br />PERMITS REQUESTED <br /> <br />J8f BUILDING <br />o ELECTRICAL <br /> <br />$/,IJDD,lJb <br />. <br /> <br />/V 1+ <br /> <br />Q r r ra 'f.... VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />/,/Ir <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~ ROOFING <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />IJLUMJNUM 'fJ.1N <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ OTHER IJ L tll1l N tI flit <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />NA <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ,eNO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* ****************************************~4 <br /> <br />.f"" <br /> <br />SIGNATURE <br /> <br />/ <br />/ COMPANY / <br />//' STATE CERT OR REGIST # ..// <br />// CITY PROCESSING # // <br /> <br />....................~.......................~............ <br /> <br />. COMPANY / <br />STATE ~~~~R REG 1ST # <br />CITY PR~SSING # <br />... <br />******************************~************************** <br />CO~ANY <br />~ATE CERT OR REGIST # <br />//CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />*****************************4*********************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />