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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUXLDXHQ DBPARTMBRT 5335 8~ STRBBT ZBPRTRBILLS, PL- 33540 <br />Phone.813-780-0020 Pax.813-780-0021. / ~ <br />DATB RBCBIVlID _- ::2 :5-0 -<. <br />PLANS RBVIBK PHR <br /> <br />OWNER'S Nu.... /" ,. ~ ~ /J PHONE CONTACT <br />nrU!i V",~,d' HO/l/""'-..... <br />JOB SITE ADDRESS L~r 7'; /3 73l/O !J~f4:wn Av'e. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />C-~~ /fG~/~'.."'" <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWli;LLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />19-M6BILE HOMB <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />iu.U A".f-~ <br />DESCRIPTION OF WORK ", ~ ~--j-- <br />BUILDING SIZE .1. "lV'I 1>' SQUARE FOOTAGE <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 REQUIRRD FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS, RBaUBSTBD <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTROCTION <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 />OGAS <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 ARRAO YES. 0 NO <br /> <br /> <br />BUXLDBR <br /> <br />~********.*****************************************.************** <br /> <br />COMPANY <br />STATE CERT OR . EGIBT # <br />CITY PROCESSING # Y .:(' <br /> <br />SIGNATURE <br /> <br />Uj~~ <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />w.-,...- n:J~ <br /> <br />COMPANY ,n c:.. --- <br />STATE CERT OR REGIST # Y ~ <br />CITY PROCESSING # <br /> <br />PLUllBBR <br /> <br />..*.......*......**...**.**....***********.**.**.**.************** <br /> <br /> <br />COMPANY /3~ <br />STATE CERT OR REGIST # Y ~ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />. B:~ <br />. L.A.-f- ~ <br /> <br />, , <br /> <br />MBCIlAHICAL <br /> <br />****.*************-*********************************************** <br />/9c,"", <br /> <br />SIGNATURE <br /> <br />LJ.. c..v- rf.~-- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ys <br /> <br />*************************~******************************.******** <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />