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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~~J, ('J..-{!l~~Ll(j- <br /> <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-780-0021 <br />DATE RBCEIVBD 1;2-10-0/ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 5.-(eu~u ~r/ PP', T0 <br /> <br />JOB SITE ADDRESS 35" CJcy ~ 1"'( cl'{ ,1-.1/1 <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # t2r;-~~ -::LI-ooh?;-ovooo- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <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 />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />.:5 f/eL <br />.2&tJ I <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~DIA/7 <br /> <br />5c.'re--e V( <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ /0~7~ ~L/ <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY b <br />STATE CERT OR REGIST .it <br />CITY PROCESSING # J~' <br /> <br /> <br />********************************************************** <br /> <br />ELBCTRICIAN <br /> <br />f. L COMPANY '1?!cJ NO tyf <br />~ ~ STATE CERT OR REGIST # <br />CITY PROCESSING # ~Jl~ <br /> <br />PL1DIBBR ~ <br />SIGNAT~~ <br /> <br />* **************************************************************** <br /> <br /> <br />COMPANY 'fJ/A /1 f1t1 w 6 f ~6 <br />STATE CERT OR REGIST # ~ <br />CITY PROCESSING # d- U 'l.. <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 />