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<br />rY)~-lf id -Il- 01 (Cf- <br />CITY OF ZEPHYRHILLS PERMIT APPLICAT'ION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phonet813-780-0020 Faxt813-780-0021 <br />DATE Rll!:CEIVlID <br />PLANS :RBVIBW FEE <br /> <br />OWNER I S NAME GfZ/HJo 1+012-( Zf)JJ M~f/ / P . <br />JOB SITE ADDRESS sF? Sl1 /VbU/(cJnI\. J1 tic. <br />. <br /> <br />PHONE CONTACT 7fz-1 ore q <br /> <br />L-nr- IiI. <br /> <br />SUBDIVISION &fhvtl /-Id1Z12t1# ""'-I1.f'. <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />PARCEL ID # 3lf -25- ?-I- 0010.- D2-6-00 -OJ'-ff <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />I!2rfNSTALL <br /> <br />DSIGN <br />PROPOSED USE: . FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o MULT I - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />~ER <br />/JW /I'll A./t/;V\ <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />"..@ REST~T & HEALTH DEP~.rT APPROVAL <br />.<~~lf l'f~ ILf)<.2~ ~ <br />,~;-J ~ (' fl.flIJb/LT/ J2A l.{ell SCae-Ov' /kals^ <br />"f fD <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <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 />[B"13UILDING <br />if'ELECTRICAL <br /> <br />$ J iff 2Jf'3 . ~ if <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W. R . E . C . WI/lIE S f-J/3t? <br /> <br />D PLUMBING <br /> <br />D 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: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br />SIGNATURE~ A. .~ <br /> <br />COMPANyj54:H G9,11i~rl.JJc.i7 tl r/ IF CP;ur/ZA L f=..L. <br />STATE CERT OR REGIST #cg.f;o .s-7? r-z. <br />CITY PROCESSING # 2~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />A. <br /> <br />(kt.J2 <br /> <br />COMPANY 1+c-E 6LeC nu. c- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />It~7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MBCRANICAL <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 />