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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STRBET ZEPHYRHILLS, PL 33540 <br />PhoneI813-780-0020 Fax:813-780-0021 1!L'f ~'D I <br />DATB RBCBIVBD /, <br />PLANS REVIEW FBB <br /> <br />OWNER I S NAME oleYl \2>Jr In ILl ElDrGDYl ~ 'Ftu;J 0- PHONE CONTACT ~;).. - O~ 7g <br />JOB SITE ADDRESS~o Old. f)-rill UU1e.. <br />-:ff?T; /j 0 " <br />LEGAL DESCRIPTION: LOT (S) ()3 ~ BLOCK SUBDIVISION ,:::u...rnrrlt' ( Hll\ <br /> <br />PARCEL ID # I ~ -:;;,Lto- .:;ll- Ol ()() - ~- o~s-o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: GM(GL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />:55 \ ~i\ j hi ocJL. hOl'Yl.(,. <br />SQUARE FOOTAGE <br /> <br />IX~~.& <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />.Bl BUILDING <br /> <br />$ 731DOO.OO <br />~oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL <br />J5;1 PLUMBING <br /> <br />AMP SERVICE <br /> <br />l&. FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />;gJ MECHANICAL <br /> <br />$ ~,OD.CO <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: ~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~ 2-?3-::Y <br /> <br />COMPANY Ten Bn nk- ~ Assoc--,O-tt.s. <br />STATE CERT OR REGIST # CGIC 04~'-i ;).?- <br />CITY PROCESSING # ~ 1 <br /> <br />BUILDBR <br /> <br />****************************************************************** <br /> <br />BLBCTRICI~AN... ..~. .,~ COMPANY Ze.ph~rhdls Ei~<.+r-ic ServIC<' <br />U STATE CERT OR REGIST # _ OOO~l~ ~ <br />SIGNATURE CITY PROCESSING # qlp <br /> <br />***************************************************'************** <br /> <br />~:f r~~~~/ <br /> <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***********************************************************.****** <br />~ COMPANY ~\.dhexn Q.crn+Or+ <br />~,J- od.~ STATE CERT OR REGIST # RmCCISOe>?- <br />. _ CITY PROCESSING # 53 <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />