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<br />I c a11eJ )( -t...o l lct') <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION~ <br />BUILDING DEPARTMENT 5335 Sth STREET ZBPHYRHILLS, FL 33540 <br />Phone:813-7S0-0020 Fax:S13-780-0021 I / <br />DATB RBCEIVED ~ - 7- 0 <br />PLANS REVIEW FE <br /> <br />OWNER'S NAME bJ2/J;v'1) /-kIlt ?O/J m li,/? <br />, <br /> <br />JOB SITE ADDRESS ?'7'7'ft /V/;t//(u/Yl IJvF. ~T. <br /> <br />PHONE CONTACT 7f'G.7 -/ ore if <br /> <br />"3 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />C/2,4lltJ I-kJl2( ?<J/./ ;rllf P <br /> <br />PARCEL ID #'5lf-Z5 -7.-(- 0010- o1-fW- 00'50 <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION <br /> <br />o ALTERATION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />uvrN"STALL <br /> <br />o REPAIR <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o MULT I - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />~ER <br />flWIYl/#vlY\ p(J..ct'../I0J~ <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK I tf 1- S-f? C/1fZPIJ/lT j-S H/=e; r Sc.,<..afiV /l>>~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ?' I 2- J!EIGH-T--~-.,_ <br />/' <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ~"f) SET ENERGY F~'S' <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY~ORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO , n J,JJ 0 <::'-- ) <br /> <br /> <br />PERMITS REQUESTED <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />P;ILDING <br />~ECTRICAL <br /> <br />$ /3l.{tl, "2--0 <br /> <br /> <br /> <br />VALUATION OF TOTAL CONSTR <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. WltlK SHI=.O <br /> <br />o PLUMBING <br /> <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 />SIGNATURE ~ jJ, ~ <br /> <br />COMPANY B ~11 {~n(),J tJF CWTML FL <br />STATE CERT OR REGIST # CIK,o S '71] 5-l- <br />CITY PROCESSING # ~ <br /> <br />BUILDBR <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />g~ fl. ~ <br />I .. <br /> <br />COMPANY /k...c I:FLC'CTTU <- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / ?'7 <br /> <br />ELBCTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBBR <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 />