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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPAR~ 5335 Sth STRBBT ZBPHYRRILLS. PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATB RECBIVED <br />PLANS REVIEW PBB <br /> <br />OWNER'S NAME ;:.:JO#IY /?IE. s/E-m IJ~E.. <br />~(f/.:3 /0.,M or <br />LEGAL DESCRIPTION: LOT(S) 3 ~ t.f- BLOCK <br /> <br />.::rR.. <br />2~'PJ.I y~ J.,.J J //..( <br />35 <br /> <br />PHONE <br /> <br />CONTACT J},::j - 7';,[- - If;S- <br />Fl. .s9cS fL'D <br />C;ry aT ~.Jr~;II~ <br /> <br />JOB SITE ADDRESS <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <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 />~MMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />1980 ilL CoI!:..c:U,A{/) S cL) 1m m l..u (" ? 00 I <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 REQU~STED <br /> <br />o BUILDING <br /> <br />$ 2. t:; to t-/ Z!:.. <br />/5 bt=c...::I: <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~LORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <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 />[g"" OTHER +> 0 I:> \ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[!( OTHER ? ~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />BUILDBR ~ ~ <br />SIGNATURE \ . <br /> <br />COMPANY I) tV /1/ ~..e... <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />~/Yl J - . A , COMPANY ~ W/l/LP( <br />/ I V~L-/ STATE CERT OR REGIST # <br />, CITY PROCESSING # <br /> <br />** *************************************************************** <br /> <br />SIGNATURE <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 />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />