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<br />OWNER'S NAME <br /> <br />I 0 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION~' <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 ~ ~~ <br />DATE RECEIVED /1)0 - J ~ <br />PLANS REVIEW FEE /D -.:tr 0 I <br /> <br />PHONE CONTACT ? rlC( - .88'..3,;l <br /> <br />tt\ \(j.d h. LO~-\-4. <br />JOB SITE ADDRESS~....iCE,f: \"Otdr. ~T <br />..f5/1< . \J <br />LEGAL DESCRIPTION: LOT(S) )l.\ -S'2\~ <br /> <br />PARCEL ID # <br /> <br />~{'~.\~ ~\. <br />BLOCK \ 1 "2.. <br /> <br />\\- 21, - 2, -f::J:>\o - \) 2.00- D' Y. 0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~EPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-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 <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK ~~,R- ~~(,) ~, C'~~ _ ~~~ <br />SQUARE FOOTAGE 1-\ <6 L\ 'S. \E:.- HEIGHT <br /> <br />BUILDING SIZE <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 />~ILDING <br />~ECTRICAL <br /> <br />~ {f 0 7 ~ <br />;-j~ ~ ~~;. ~ ~,:-- <br />J\P <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />N\~ <br />. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br />SIGNATURE~o~lih-. ~~ <br /> <br />COMPANY~;-S Gl:::Nt.IU>-l. ~~~~. <br />STATE CERT QR REGIST # <:.co -c..oSl 'Z <br />CITY PROCESSING # ~7 <br />V"O/J.... <br />****************************************************************** <br /> <br />BLBCTRIC:J: COMPANY C~ c... ~~~ <br />} STATE CERT OR REGIST # I::.f~ OO\cn.e,3 <br />SIQNATUR "'" (L/d " . CITY PROCESSING # SO Ot. <br /> <br /> <br />*********************************************************~***** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />N\P- <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITy PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br />SIGNATURE --.I{\o--- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~~ OTHER <br /> <br /> <br />* *************************************************** <br /> <br />COMPANY ~~T" ~O~f'''\ '"f'~. <br />STATE CERT OR REGIST # c:ee..:DE;&o+8 <br />CITY PROCESSING #. . <br />