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<br />OWNER' S NAME M l\ t1 0 ( 0 '..s ? ~Z i R ~ <br />JOB SITE ADDRESS '3 'tL/t.f~ sf4 Ave... <br /> <br />/ (ldft-tP ,,. 4.P-O':; K:!- <br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~ -- <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS. FL 33540 . <br />Phone:S13-780-0020 Fax:S13-7S0-0021 I /) <br />DATB RBCBIVED _-15,.0 "" <br />PLANS RKVIRW ll'Rli <br /> <br />PHONE CONTACT 7 J' d - 7 Ii 7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />S INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />~OMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK L -../J. a 4...5 T",s.fti./I/t.+, ~"\. <br /> <br />BUILDING SIZE <br /> <br />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 REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />,.,;1 <br />()~ fY1 <br />W.R.E.C. r D <br /> <br />o BUILDING <br /> <br />$ <br /> <br />. <br />j 5iP () <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />~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 <br /> <br />o NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**************************************************~'************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />L. P eag COMPANY S"" hurlJo" <br />./7 .-I /) d STATE CERT OR REGIST # <br />SIGNATURE . U.....4~ ~'I~ CITY PROCESSING #..Ii-A <br />~~ ?~/3 <br />*********************************************************:)f~~~()~ <br /> <br /> <br />,6, ~~/ <br />{IY~. <br /> <br />***************************************************************** <br /> <br />'.. <br /> <br />OTHBR <br /> <br />gJ I' ~ tJQ ne <br />'(f)/~ 75- <br />