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<br />c?tl!2eJ) l;J- ~ If -c ( (c..f <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 JI- ~r7-()/. <br />DATB RECBIVED -+ oL-J$' _ <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME G fl/M/f) HO(4 20;V M ./-1, P _ <br />JOB SITE ADDRESS 375tfZ- NI5U/(OM AvE. t-OT PI. <br /> <br />PHONE CONTACT 112 - I [), if <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(;~'t? /10fl/ ~N' fJ11f.{. <br /> <br />PARCEL ID # 'JIf-'2.5 - '2-/- DOlO _ Ozj'()O - D 'J-40 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~W CONSTRUCTION ~DITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />u:roTHER <br />,4I.-Udll j./t./ /Yl <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF <br /> <br />/lM'D RESTAURANT. HEALTH DEPARTMENT ~AL <br />L~ 8'1i2. ' <br />WORK I z,c /5 ~1!>f.4 .fCJl/'36iJ ""'HV't 1 If;< '15' fXl,r- -1- sJ..I.ptl <br />I <br />qQO <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />~CTRICAL <br /> <br />$ <br /> <br />/38"31. 9fp <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C.h//~ S-~t? <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />~ <br />rJ )J() U <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 AREAD YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE :~ j)", ~ <br /> <br />COMPAN~~I-I etJurfWGrlotV of crAlrflA<- FL <br />STATE CERT OR REGIST # ~(1. .c"o r:;'I '7 cf"' Z- <br />CITY PROCESSING # ~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />[J~ <br /> <br />;2. ~ <br /> <br />COMPANY /k-& EUc- TIle C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />J?7 <br />, <br /> <br />BLBCTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />