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<br />.. L N?u,v /~ ~/f;-O( !~) <br />CITY OF ZEPHYRHILLS PERMIT APPL~KTION . <br />BUILDING DEPAR~ 5335 8~ STREET ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATE RBCEIVED <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME t:;fZlWo 1---k,L( ZorJ fYl./-I,I'. <br />JOB SITE ADDRESS f\lEt/~M Lt) I .2? <br /> <br />PHONE CONTACT 7 tf 2 -I IX;' l.f <br /> <br />SUBDIVISION G/lIWo J../tJ!l{ ZoAl /"I-tl,P <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />PARCEL ID # "3"(-2--'?-1-1 -nolO _ ozft!Jo-offO <br />WORK PROPSED: ~EW CONSTRUCTIO~ ~ITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />g-n:fSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />~HER <br />11 Lc//YlIN.Js'lA <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK ~ {Dvf,llW Pil-lIo , I Z ~/lt5t!N ~ , ~ <br />, , <br /> <br />SQUARE FOOTAGE bo / <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~UILDING <br /> <br />$ Cf! S1 , :;-0 <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. ~ <br /> <br /> <br />PERMITS REQUESTED '-11~ ~ _ <br />VALUATION OF TOTAL CONSTRUCT~ <br /> <br />~LECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. WI{lt: S#ISO <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTAlJLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />SIGNATURE <br /> <br />&ua /J. f2aJALf} <br /> <br />COMPANy-B't 1-1 Ccw<;rfl,,/(.TII,v hI=- ~.JrflII.<.- t=l. <br />STATE CERT OR REGIST #. C(1co 5'7r"J eFt- <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />, <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ II f2Jr.p(J <br /> <br />COMPANY /leE" }:L-&'.jtlc.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1&=7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />