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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STREBT ZBPHYRBILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVBD Id -~ - O( <br />PLANS RBV:IBW PBB <br /> <br />/l <br /> <br />OWNER'S NAME 0-~ ~ j;' /-/c.:J ~I ~ ,,-.I <br />JOB SITE ADDRESS L. <- r 2. y IV ~'-<-I<"".., <br /> <br />PHONE CONTACT <br /> <br />A u ----- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(~r-I-),JJ !lui''rI .L....." <br /> <br />PARCEL ID # <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 />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />../ <br />ErMOBILE HOME <br /> <br />[] OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />IJ'1' Ii <br /> <br />5d~ <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 />$ <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 />r:rrr:n011H'1.~I!'r!j1i"I1;~~jTI"ITI;W.;'IT;;!1m!f'f''::Jl'ilfff!~ - -." - . m_:rr: '. r~ . <br />filf Ih 1.j1 ft ,L -r",. ,t,'\J:tr'l \1 lr~u ~"t1frlIft 1" 'rtJ}t (lk^'rtf ~ ~ 1m <br />. A"';dl I" : ,:,1:1;~,L!!l.~!'p". ~';'ii; l' k,d':'ri L~~~~~",;}':l' c,; .... ."_ ... .. _ ..':. .'(,; , .~'" OK''',} t~_ <br /> <br />SIGNATURE <br /> <br />W'-7~~tJ <br />. <br />i <br /> <br />COMPANY o~9Y <br />{ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />vt <br /> <br />BUILDBR <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />uJ '~--r-J:::tL/ ({,,) <br />r <br /> <br />COMPANY /1 c::.. -..... <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />V5 <br /> <br />BLBCTRICIAN <br /> <br />PLUMBBR <br /> <br />..................................:::::::..::~~........... <br /> <br /> <br /> <br />1 ' STATE CERT OR REGIST # fir <br />GJ '-7-"~Uf...y/ CITY PROCESSING # 1- <br />I' <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br />n.:..<-' <br /> <br />SIGNATURE <br /> <br />LU <' ~__'''''-:l!:.~i.~~ <br />I <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # e-( 'S' <br />CITY PROCESSING # <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />