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<br />OWNBR'S NAME C-AI'V'-'J <br />JOB SITE ADDRESS G.... r <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDi:R'Q DIIPARMH'!' 5335 8th STRBIIT ZIIPIITRIIILLS. I"I.- 33540 <br />PhoneI813-780_0020 l"axI813-780-0021 _ <br />DATil RBCIIJ:VJID ) - J. D - D :J-- <br />PLANs llBVJ:BIf I'IIB <br /> <br />Ii rJli I ~:',.J fYl. y- p f. <br />z.~. 375.3? ~ <br /> <br />PHon CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />f}vtl. . <br /> <br />SUBDIVISION <br /> <br />(,...'l~ H en r~ .. ~ <br /> <br />PARCEL ID # <br /> <br />BLOCK <br /> <br />WORK PROPSBD: oNEW CONSTRUCTION <br />oSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITIC?N <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 DWBLLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />B1roBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DBSCRrPTrON OF WORS n JJ- 5d ~ <br />BUILDING SIZE 't.. "P rycJ SQUARE FOOTAGE <br /> <br />RESr'DENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT <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 REQUIRBD FOR ALL NEW CONSTRUCTION. <br /> <br />PBRMITS. RBQUBSTBD <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 />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHBR <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARBAD YES' 0 NO <br /> <br /> <br />BUl:LDIIR <br /> <br />IILIICTRJ:CJ:AN <br />SIGNATURE i..A...J'~~ <br /> <br />***************************************************.*******....*** <br /> <br />COMPANY <br />STATE CBRT OR RBGIeT # <br />CITY PROCBSSING #:. Y i <br /> <br />SIQNATURE <br /> <br />LJ~4~ <br /> <br />COMPANY He- <br />STATB CERT OR RBGIST # <br />CITY PROCESSING # ~~ <br /> <br />***.*.*.********.*******************..****.*********************** <br /> <br />PLUMBIIR <br /> <br />SIGNATVRE <br /> <br />LJ~~ <br /> <br />COMPANY LJ....A'A/" /J? <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******************.*********************************************** <br />COMPANY ;Ir1 <:... ___ <br /># ) STATB CERT OR REGIST # <br />'J:~~ crTY FROCBSSrNG I It 5' <br /> <br />JlBCHAHICAL <br /> <br />*************************~*************************************** <br /> <br />OTSBR <br /> <br />*******.***************.***.....****.***..**..*****.*********.**. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # l( r <br /> <br />SIGNATURB <br />