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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATE RECEIVED f'-,~f-v J <br />PLANS REVIEW PEE - ' <br /> <br />OWNER'S NAME C flIIIJp J../O/l1 Z 6 tV J1//.f! , ? PHONE CONTACT if2- - / ora if <br />JOB SITE ADDRESS 57 5~')..- N~w Hoaf 24/J DLv'P, Lfj, &'1 <br /> <br />SUBDIVISION ~ /-laIU?a-v In-II/f? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 5'1-- 25>7..( - VOl D - ;r)2-?tJO - (::) (/i 0 <br />WORK PROPSED: ~ CONSTRUCTION ~DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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: DSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />~ .A1-v#11P/1/ PI. <br />lIY"OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RE URANT & HEALTH DEPARTME~PPROVAL <br />.,.tJ-O @/ (Cfb) <br />12..'f. UJ (~130 JC/l6~/1I ~ Z- ~ C4l1tYlT rf'm ~He~ <br /> <br />'7'710 <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />~ILDING <br />~LECTRICAL <br /> <br />$ 1370Q, 32- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. wllzt: 5HGO <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 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />LA-w~ <br /> <br />COMPANY g UfCO/ll-;i7ZJc.r16nJ of=- CCt./ilUk... ':;L, <br />STATE CERT OR REGIST # C 1:/ &""'7 '7 cf"z. <br />CITY PROCESSING # z(.,' <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ 4. ~ <br /> <br />COMPANY tJc.E I~T{lA c.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />, 9'7 v' <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <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 />