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<br />/ OWNER'S NAME West:s ~ () Le- ? t. < ~ 1+ <br />- JOB SITE ADDRESS 38C)3'=- mllA.f<<-f-. ~)9i?o~ ~A ' <br /> <br />CITY OF ZEPHYRHILLB PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540 <br />Phoner813-780-0020 Paxr813-780-0021 <br />DATE RBCBIVED :i - ! ( -- 0 P---- <br />PLANS RBVJ:BW PBB <br /> <br />PHONE CONTACT QQ9, c..{ ~ 8?, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID It <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JADDITIO~ <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />[J MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />[JMULTI - FAMILY <br /> <br />o It OF UNITS <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/ DESCRIPTION OF WORK 5.e~ .a ~{60 Gt}-({c>:lJ..S /:wK p.~ftl. ,~~ UnG.'5 Ie Bc.ftr. /(e,ds <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. ~. oC''j) . <br />PROPERTY SURVEY REQUIRED FOR ALL NBW CONSTRDCTION ~ YI'- &ft Co : ~( <br /> <br /> <br />PBRMITS REQUESTBD ~./~ <br /> <br />"/$ <br /> <br />~OOfOO <br /> <br />o BUILDING <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION -I ~.5" 6]);- <br /> <br />o WORO;)J- ~;S~). <br /> <br />VALDATION OF MBClIANCIAL INSTALLATION JKl-II~~ <br />[J OTHER ('rtfJ.-<~ tZf 'fl ;' <br /> <br />o FRAME [J STEEL 0 o~Lv~ <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />[J PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />[J ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [J Br,qCK <br /> <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />EAD YES D NO <br /> <br /> <br />BUILDBR <br /> <br />COMPAN DAVE OVITT <br />STATE <br />CITY P: <br /> <br />Manager <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />COMPAN~ <br />STATE C <br />CITY PH <br /> <br /> <br />813-949-4286 <br />17602 N. U.S. Hwy.41 <br />Lutz, FL 33549 <br /> <br />****************************************; <br /> <br />ELBCTRICIAN <br /> <br />* * * * * * * * * * ***** *** * * * * ** * ** * * * * * * * * * * * * * * COMMERCIAL <br /> <br />RESIDENTIAL <br /> <br />PLUHBBR. <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING It . <br /> <br />, " <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************************************************************** 9~-~~8~ <br /> <br /> <br />r;~S ~r&;:jDPI>>.(~ COMPANY )../tJt!tz.S/c/t; ?~~Jf:;VQ.. I/le. <br />A') _ STATE CERT OR REGIST 1# ~ <; <br />SIGNATURE LY' - CITY FROCESSING' .:2.~ !. y ~ <br /> <br />**********************************************~1i************* <br /> <br />OTHBR <br />