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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPAR~ 5335 8~ STRBBT ZBPRYRHILLS, PL- 33540 <br />PhoneI813-780-0020 PaxI813-780-0021 <br />DATB RBClUVIID / -10 - ~ :z. <br />PLANS RBVIBW PBR <br /> <br />OWNER'S NAME <br /> <br />('-1'1 J4vV) <br /> <br />.-r- <br />JOB SITE ADDRESS 1.-.-:;, ( 3 <br /> <br />&/1.(::.0---. <br />"? 77$/0' 'AI~,tom <br /> <br />PHONE CONTACT <br /> <br />/ll/~. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />c..~ ",,""" j /{ C' ^ ( -.. ':.... <br /> <br />PARCEL ID # <br /> <br /> <br />~!Jc2.fgt) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />oSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />oMULTI - FAM!LY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />B-MOiiILE HOME <br />o OTHER <br /> <br />o SWIMMING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />Mtf <br />, <br /> <br />t-~rS< <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PBRMITS RBQUBSTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o 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: 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 />SIGNATtlRll J-.>J_.__ p;::;ltJ if} <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR . EGIST # <br />CITY PROCESSING # <br /> <br />BLBCTRI:CIAH <br />SIGNATURe 0o,.-~;;;;D. <br /> <br />COMPANY )1 ~ ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />****************************************************~~********* <br /> <br /> <br />, COMPANY p~ <br />~ STATE CERT OR REGIST # <br />t...LJ ~.-- . .' CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY /4- Q.., - <br />. J c...... .---:~ STATE CERT OR REGIST # <br />~ ~ CITY PROCESSING # <br /> <br />MBCHAHICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />