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<br />OWNER'S NAMB-:r~~ V\k~~~ <br />JOB SITE ADDRESS . /7tJ> . /J )J.:... <br /> <br />CITY OF ZEPgYRHILLS PERMIT APPLICATION <br />BUILDING DEPART~ 5335 8~ STREET ZEPHYRRILLS, PL 33540 <br />Phoner813-780-0020 Paxr813-780-0021 <br />DATE RBCBIVED <br />PLANS REVIEW PHE <br /> <br />"" <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />D ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />D COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK C Cr"T'V'.< c..+ \)\'O'''''l~-i'~V'<;' If €,( oE:.:.... t,(l,c.iI2."l I' U-~ # 0267 <br />BUILDING SIZE SQUARE FOOTAGE I :~DO 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 />PBRMITS RBQURSTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />r;B-...ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D 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 FLqOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE. <br /> <br />::~~/~~ <br /> <br />****************************************************************** <br /> <br />****************************************************************** <br /> <br />COMPANY 4. /1/11 ;:~tAlS ~;"C:';;'/2 ~& <br />STATE CERT OR REGIST # EICO() ) c; '15'"7 <br />CITY PROCESSING # 21~?- . <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />, " <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />