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<br />{C!P..efP--<..e 3 -5 - C' ;;. ,k:f- <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RECEIVED ~ -c:2..?- O~ <br />PLANS REVIEW FEE <br /> <br />, <br /> <br />OWNER'S NAME .s~ Irli <br />JOB SITE ADDRESS at"} k1.-.:l. )JG(;.J~O~I tJ)~, <br /> <br />PHONE CONTACT 7 J ).. ~fJfol (, <br /> <br />LEGAL DESCRIPTION: LOT(S) ~~ <br /> <br />PARCEL ID # 03 - Jl:>-JJ-OFJ() -00000 - 07S-D <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />7.6"/lY~ ~ /tJhlj <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os IGN <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 /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(!~{Jo(r S}J6r1 <br /> <br />BUILDING SIZE I/J X/1- <br /> <br />SQUARE FOOTAGE ~ ?:J. <br /> <br />Oil <br />HEIGHT I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />'llj~o. ou <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br /> VALUATION OF MECHANCIAL INSTALLATION j.(p I? <br />0 OTHER <br /> r1~Y <br />0 FRAME 0 STEEL o OTHER <br /> IS PROJECT o NO <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER ~ L <br />SIGNATURE. .-'" <br /> <br />COMPANY Jlt!-6 Jf! Lu:I'H/,I/l.~ <br />STATE CERT OR REGIST # [I~1!()3V('YO <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLOKBER <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 />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />