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<br />vo;NER'S NAME AJlJD'-.J (C'l....\ K Cl,J <br />. ( <br />JpB SITE ADDRESS 60S\ LA,,-~ <br />1-r/' <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION fJ=:: 0 ({;2.. y <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />~ ~ ~ II::")~ - ~1..5 lJ..",- ?A-L I L <br /> <br />PHONE CONTAC~I.=Ii,",S{L_ <br />~I?;ffi~ z...1~ 2- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~CRIPTION OF WORK ~--ri'L ~1"6 ~.A1\ <br />BUILDING SIZE 7 ~ J1:l SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />000 <br /> <br />VALUATION OF <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. t. <br /> <br />135)~' <br />~ / <br />~~ <br /> <br />TOTAL CONSTRUCTION S------: <br /> <br />~ImILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <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: [J 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 AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # 3 <br />CITY PROCESSING # 1 __' Zc 2- y <br /> <br />********************************************************** <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />Ii <br />