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<br />/ CdfI-~ :1,5 -o;z let- <br />CITY OF ZEPHYRHILLS PERMIT APPLICATI~ <br />BUILDING DBPART~ 5335 B~ STRBBT ZBPHYRRILLS, PL 33540 <br />PhonerB13-780-0020 Pax:813-780-0021 <br />DATB RBCBIVED <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME <br /> <br />~ Ie /L <br />("f.ol(P <br /> <br />r;:;: 11 .s S 0 <br /> <br />JOB SITE ADDRESS <br /> <br />W, tLe <br /> <br />?J <br /> <br />PHONE CONTACT 78';:;. t../s ~ S <br />,-.- ! n 'T""- L/ <br />I/l..A t L~ ~'" i " <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <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 />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />f../eu.J <br /> <br />Sf. e. j <br /> <br />BUILDING SIZE <br /> <br />la 'X I";"" <br /> <br />SQUARE FOOTAGE 7'z <br /> <br /><:.:,1 <br />HEIGHT 0" <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 />~BUILDING <br /> <br />$ <br /> <br />J . a" <br />~S-() - <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 />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 AREA 0 YES <br /> <br />o NO <br /> <br /> <br />.UEWBR::2 ~ <br />SIGNATURE\: ~ 9 . \ <br />CI <br />****************************************************************** <br /> <br />COMPANY 4J aJ Me If:..... <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />