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<br />J LC...t/I.uf :1- c,~t'.~ fa ,\ <br />CITY OF ZEPHYRHILLS PERMIT APPLICATrON--- '. <br />BUILDING DBPARnbmT 5335 8th STREET ZEPHYRHILLS, FL :33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED /./~/) --o~ <br />PLANS REVIBW FEE <br /> <br />OWNER'S NAME CU.AV tJ E d"co j,,/, <br />JOB SITE ADDRESS ~ r?:31 ~AKceGSr tJ/lY <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK SUBDIVISION <br />PARCEL ID # 02- --2-&.- 7-/- V2-~O - @ 0000 -~BTAINFROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />PHONE CONTACT8'/3.. liS hf9a <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 5/1\10<-6 <br />BUILDING SIZE ~) X 50/' <br /> <br />r~/V7IL-Y <br />/ <br />SQUARE FOOTAGE <br /> <br />~J1oo <br /> <br />HEIGHT <br /> <br />gr <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />ENERGY FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />/ w <br />00, a 00 - - VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />/SO <br /> <br />AMP SERVICE <br /> <br />~ORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />INS TALIJ\T ION Qa d-r iJl17 <br />ifJ;r!i <br /> <br />-2-/300. <br /> <br />~ <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~CK <br /> <br />o OTHER <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />COMP~Y j)/ft./ /P CU, ?"i))/~St>.v Lj?V/LPEL /,Uc <br />STATE CERT OR REGIST # eGo G 0 .~ /0 <br />Y PROCESSING # /IIJ' <br />.v /0' <br />****************************************************************** <br /> <br />BUILDER <br /> <br />SIGNATU <br /> <br /> <br />COMPANY J.1 a Ii; JI\ ELeJr ~ c... ,Ifl e.- <br />STATE CERT OR REGIST # G Roo /3 '-/4 Cj <br />CITY PROCESSING #~ q7 <br />v <br />****************************************************~* <br /> <br /> <br />~ /// (k, ~~:~':~E(:tftEG;!~/V:1E- P:;,kr''J <br /> <br />w.~ CITY PROCESSING # . / I"~ <br /> <br /> <br />*** *******j(**********************************~****::**~*.**~*** <br /> <br />~ COMPANY cr7l/",r..-:"" ~-_ _ __ <br />_ ~ ~.J STATE CERT OR REGIST '. __.' If. 1f1C! p. I i " I <br />CITY PROCESSING #.J.O f.._ <br /> <br /> <br />**********************************~*~*~~~~~**~****** <br /> <br />BLECTRIC <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />