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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ~~ {J-I i)~o ( let: <br /> <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 />7J'2 - oqq ~ <br />PHONE CONTACT?;I ~-~-rf't-~ <br /> <br />JOB SITE ADDRESS <br /> <br />D6rJ At.....cl <br />'-/7/1 <br /> <br />kH.)~ <br />(!h A J2.T t==..L <br /> <br />6,.- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />"~:-:;:,~ <br />c:c:PARCEL I~ <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br /> <br />Ja.. ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL 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 />I&.oTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~Hb p ~:rp 11 C::- \') <br /> <br />"T\.\ <br /> <br />'(Lx. l S T j ,J ~ <br />\ q '2.. <br /> <br />fL~ R. \ dA f:. /-.1\ . <br />HEIGHT 7 <br /> <br />BUILDING SIZE , \ ,5' <br /> <br />, <br />X <br /> <br />\br <br /> <br />SQUARE FOOTAGE <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 />12f BUILDING <br /> <br />$ <br /> <br />~ODb <br />~O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />Ilt FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />fi. PLUMBING <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 rta.. FRAME <br />" I <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA~ YES <br /> <br />o NO <br /> <br /> <br />BUILDER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATUREV' ~~~ ~ ~ CITY PROCESSING # <br /> <br />**********************1******************************************* <br /> <br />SIGNATURE V ~""'""'-- \.! <br /> <br />~ <br />\ <br /> <br />COMPANY 0 1.1 ~.( 4,) <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY ({)?< 'l--Jl'" 4--- <br />~ STATE CERT OR REGIST # <br />CJ't1--... Q ~ ~ CITY PROCESSING # <br /> <br />***************-::::::1******************************************** <br /> <br />SIGNATURE l/ <br /> <br />MECHANICAL <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 /> <br />" <br /> <br />\ <br /> <br />1(- <br />