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<br />FiLSI U,.u7"rfLJ PeuTEUA"SIJP-L eH0<<"C.H- <br />OWNER'S NAME Cl f !k:. 'T S . . <br /> <br />.r-o L/ I c--T'I" <br />JOB SITE ADDRESS .;. ('J 0 L S II! eel <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~~J /2~(1,-]f U- <br /> <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:813-780-0021 <br />DATB RECEIVED /2. - g5 - n I <br />PLANS REVIEW FEE ' <br />"7(5'.;1.- 0 ~ "'? S- <br />PHONE CONTACT eel! 7/3 -Od;)..r- <br /> <br />Z ep(1A.t,.i/1 S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />",P~"-"-'-'~-~~.".:~'~'.'-','.""',-', ., ~,'-""~ <br />~Il)"#~~ <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />ADDITION <br /> <br />DALTERATIDN <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />~UILDING <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL II ~THER <br /> <br />CJ RESTAURANT . HEALTH DEPARTMENT APPRDVAL ~~ A <br /> <br />DESCRIPTION DF NDRK cd4;. j Ff II""" 5 " ~ '" /I L II 9- S To" ,II? c VV ,- <br />C";or I ~ 1-1 <br />BUILDING SIZE )"7, '-/ X s&, SQUARE FOOTAGE~rJV :2/60 ~.- HEIGHT ilf 57:;;vcl.uj <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. ~ t; <br /> <br /> <br />r< PERMITS REQUESTE0:::-0 ~~3-:----- <br />VALUATION OF TOTAL CONSTRUCTION. . .,?__-. ! <br />AMP SERVICE rII FLORIDA PDWER / [;] .:,r.It.~ <br /> <br />~ VALDATION DF MECHANCI I~~!:r!4~ t:/t <br /> <br />o OTHER \~3----'# <br /> <br />$ <)0000 <br />2.80 <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ 1j OC)O <br />o SPECIALTY <br /> <br /> <br /> <br />~ELECTRICAL <br /> <br />o PLUMBING <br />~ECHANICAL <br /> <br />TYPE OF CONSTRUCTION: J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES r6 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />BLBCTRICIAN <br /> <br />SIGNATDREV'~ Y R-- <br /> <br />COMPANY r/Et:: c/ecI <br />STATE CERT OR REGIST # <br />CITY PROCESSING # \~l, <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST #. <br />CITY PROCESSING # <br /> <br /> <br />* ** **** ** *** *** **** *** *** *** * *************~~::***** *** * "T'7. K - ~~ 9- fill( <br />COMPANY r / R C) ~-'1 , '_ A f2. 'fL/ E~ I <br />... <br />STATE CERT OR REGIST # c..4CO 'I '3 Of g.s <br />CITY PROCESSING # .J.. 9/.1 <br /> <br />>>r;, <br /> <br />~-, <br /> <br />~ <br /> <br />******************* <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />AJ~ ***************************************************************** <br /> <br />'" ..'....JJ A-... (lC...A-L- <br />1VIlll"'~~ Ll.llrH ~~) <br />