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<br />LEGAL DESCRIPTION: LOT(S) <br /> <br />OWNER I S NAME OAV I 1) ?J.. 'f(j I-( A.J s'oJ <br />JOB SITE ADDRESS /P'l5DiJ..-. OIlI~Ct2-e5"1 tJ~'I <br /> <br />/f <br /> <br />~2- - ~(; - 2,1- 0 ~5o -OOOl>O- <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED / - 3b-~L <br />PLANS REVIEW FEE <br /> <br />PHONE <br /> <br />CONTACT37'2.5'2:3. 0473 <br /> <br />/' <br /> <br />()~fM~/I;3 - t!)~ <br /> <br /> <br />BLOCK <br /> <br />.1/ SUBDIVISION <br />V /.., V <br />,OBTAIN FROM PROPE <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: <br /> <br />NEW CONSTRUCTION <br /> <br />o ADDITIO~ <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~ FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />5 IF..} [., L-~ FflIVJ I L. V <br />r I <br />-.) 0 )(, ,)2- SQUARE FOOTAGE 2-c C c <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />y'l <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION: <br /> <br />o BUILDING <br /> <br />$ <br /> <br />1/(;, cut/. <br />, , <br /> <br />/50 <br /> <br />PERMITS REQUESTED <br />~ <br /> <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER 0 <br /> <br />W.R.E.C., <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />~ <br />?-/5co. - <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: ~OCK 0 FRAME 0 STEEL o OTHER <br />FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />COMPANY /'vt ct r-f./ ~ 'C..Le (' * I~, . I.A e <br />STATE CERT OR REGIST # 6 eo 0 ;3 <.; L( <) <br />CITY PROCESSI~q~ <br /> <br /> <br />******************************************************* <br /> <br />~ ~ COMPMIT ~!{,J JdV"uJ/VN/6i'l' <br />tiJ j // STATE CERT OR REGIST /# ~f-(iJ6t, 't~ 3 <br />w~ tvJ/ ' CITY PROCESSING # ~ /6C <br />./D-Ii-- <br />*** *********;(*****************************~~********** <br />COMPANY 1( <br />STATE CERT OR REGIST # IYI t:JD Ie' t.t b / <br />CITY PROCESSING # C2 O{; <br />~k <br />***************************************** ************** <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />