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<br />I c~i:eut 3-II-tJe:l cr <br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~__,_,~~~- <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS. PL 33540 <br />PhoneI813-780-0020 PaxI813-780-0021 <br />DATE RECEIVED :2. -IS'- tJ,2, <br />PLANS REVIEW FEE <br /> <br />JOB SITE ADDRESS <br /> <br />2> UIl./ S r'f7e <br />6154 <br /> <br />"" t..- () Ii 1/(,/ () If <br />r-:'o ILT 'fC-flV (-, /!)) <br /> <br />PHONE CONTACT 78'~ -730 g <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />D ALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />-4fcOMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />D# OF UNITS <br /> <br />D MOBILE HOME <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 70 ~c..T tj;)...X60 Be) I c.....t>I,u 6. <br />BUILDING SIZE C/~Y::6 tJ' SQUARE FOOTAGE 02-~~ <br /> <br />HEIGHT <br /> <br />r <br />/0 5' Il)~ alkS <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. ~,~lJf, 13 <br /> <br />'.JA -;Ii; tJiY1! iC 1 0 ~ '7:t <br />PERMITS REQUESTED ' )Jr#' <br />JJV I <br /> <br />VALUATION OF TOTAL <br /> <br /> <br /> <br />D BUILDING <br /> <br />$ <br /> <br />N <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />", _ q L( t.(;}. <br />1~ if <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />PLUMBER <br /> <br />BUILDER ~7 ~~r ,~ COMPANY G L :!::..TeY(;;.. Co~s..7eOCTlO,J <br />-~ /" STATE CERT OR REGIST # (!A'~ C.Oo-CH3.?' <br />SIGNATURE __ ~RJl CITY PROCESSING # 3Dt;; <br /> <br />, ****** *********************************************************** <br /> <br />ELECTRICIAN ~ I. ,~ ) COMPANY tIJ () r f&.1f If / t L1't:~ <br />'ra /lA/.L/ () 'vfV2~' STATE CERT OR REGIST # <br />SIGNATURE ~ 'v-- . CITY PROCESSING # ;<,;J..;>... . <br /> <br />* **************************************************:************* <br />('!t/!/s. ~ 1!1 Ul11b,:,u6 <br /># FooYISYs-- <br />/6 . <br /> <br />SIGNATURE <br /> <br />d;;ii4~gM <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />*******************************************~********************** <br />MECHANICAL~~ COMPANY PAH/!..~ /kO,P1O #'v L 6,q,5 e.. 0/[ I,u~ <br />~ STATE CERT OR REGIST # CA( ~ ,/.:79 Y ef <br />SIGNATURE' CITY PROCESSING # 1-"7 <br /> <br /> <br />************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />" <br /> <br />***************************************************************** <br />