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<br />OWNER'S NAME /u/~/h1,;51z~ <br />JOB SITE ADDRESS 0.3 ~ VZ ~ f 62.. <br /> <br />, (J'/i P 3'-?-Cl~,er- <br />CITY OF ZEPHYRHILLS PERMIT APPLICA~OH< <br />BUILDING DEPARTMENT 5335 8~ STREET ZBPHYRHILLS, FL 33540 <br />Phon81813-780-0020 FaxI813-780-0021 <br />DATE RBCEIVBD 3 -v.- {) ;Z <br />PLANS REVIBW FEE <br /> <br />PHONE CONTACT 7 cF2 - 5/ ~ v D <br /> <br />1)/1.. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITIO~ <br /> <br />o ALTERATION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~INSTALL <br /> <br />o REPAIR <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />[J MOBILE HOME <br /> <br />~OMMERCIAL [J INDUSTRIAL 0 SWIMMING POOL 0 OTHER <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK //l/si$// '///It -0m~ //V /;fr~e/C/ doLJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS RBQUBSTED <br /> <br />[J BUILDING <br /> <br />$ <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 />00 <br />$ /~OO <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING }fSPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLQCK <br /> <br />o OTHER <br /> <br /> <br />o FRAME: <br /> <br />o STEEL <br /> <br />C ~IJ) ~{C(~ 33 e;rr <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUllBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />, " <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * *.* * * * ** * * * * * ** * * * * ** * * * * * * * * * * * * * * ** ***M* * ** * * * * * * * ** *;A* * * * <br />.. COMPANY (O/l-?.h1(4f/If/ .//A..r.. ~Q. <br />' STATE CERT OR REGIST # J'1Y'6t'JOQOZ.J:F- <br />CITY PROCESS ING f# .;? ').5/ <br /> <br />MECBAHICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />tlrk '" <br /> <br />j -rr- <br /> <br />COMPANY aJ'h/h//lCP'9/ ~-1~ EQ Co, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />