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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPART~NT 5335 8~ STREET ZBPRYRHILLS, pL- 33540 <br />PhoneI813-780-0020 paxI813-780-0021 <br />DATE RBCBIVED <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME e>.Ai:/COCfC ' S <br />JOB SITE ADDRESS 56040 (o+n. <br /> <br />PHONE CONTACT <br /> <br />oJ: <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />W 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 />"OMMERCIAL <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />C~7'1 <br /> <br />DESCRIPTION OF WORK <br /> <br />J-kw N <br /> <br />112R1~~170AJ <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 />PBRMITS RBQUBSTBD <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 /> <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: 0 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 <br /> <br />o NO <br /> <br />~rf:r'17fT1fTImmNi1rmin1]1~1~;~rlJ\qmqr;fY'1~;;F;;r:y:t";~1!fi!l8ffif " - --- - ,-- -- fl1f~1fil' ' <br />,.t'~!I'.:::"'ir~fflf:I]f!hl ;';.J~r,IJ;c~WJ;!:,f~+Ai l' ,'ll,:: :f~\ro!'~E,~!~:~"h. ,I _, ,_, ,_._,,', .Jl~l"t~~Jl!:~Ei&~frfli~f~'f~11~J[ 1""" rl>,.L"", ""1.._ <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 />~~. .JcM <br /> <br />COMPANy---&-rJ~CItif, 5tC . <br />STATE CERT OR REGIST # I~"'M- <br />CITY PROCESSING # h( 71;2. <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 />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />