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<br />OWNER'S NAME k(J/T'B4ce, /fl/&C k <br />JOB SITE ADDRESS 3S-3/! t41~/ld(h I?.n <br /> <br />LEGAL DESCRIPTION: LOT(S) /~ BLOCK <br /> <br />. <br /> <br />Ls~ 1;)-3(~ () ( p.~ <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRRILLS, PL 33540 <br />Phones813-780-0020 Paxs813-780-0021 <br />DATB RBCBIVBD I~- :2.1- {) I <br />PLANS RBVIBW PBB <br /> <br />'r <br /> <br />PHONE CONTACT <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK I'IIcf rj,/, /if/'-/-- <br />BUILDING SIZE /2 ;<2-~ SQUARE FOOTAGE / VII'! ' <br /> <br />1-3/ 9/1 <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 MECHANICAL <br /> <br /> <br />:J 1. '!)OtJ.d& <br />$ / <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BUILDING <br /> <br />lJ;31:LECTRICAL <br />tr"PLUMBING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <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 <br /> <br />YES 0 NO <br /> <br />BUILDBR <br /> <br />COMPANY / CI #1 <br />STATE CERT OR REGIST # /!}P S-/c y'7 ZJ <br />CITY PROCESSING # <br /> <br /> <br />COMPANY ~I"~n <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 07~.~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY ;:j;, / ( <br />STATE CERT OR REGIST # <br />CITY PROCESSING # :;) /19... <br /> <br />SIGNATURE <br /> <br />~~A <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />