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<br />/~ ~ , () <br />OWNER'S NAME ~S <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 8~ STRBBT ZBPRYRBILLS. FL 33540 <br />PhonsI813-780-0020 FaxI813-780-0021' <br />DATB lUIcBl:VBD j -. ~- 0 2. <br />PLANS RBVl:BW FBB , <br /> <br />.- <br />JOB SITE ADDRBSS L-.,c.J <br /> <br />;Ian-i. "'/I-" ~ <br /> <br />I <.I t5 3rt~/ L () 11 cjVi'/- <br /> <br />PHONE CONTACT <br /> <br />J1l1e. <br /> <br />LEGAL DESCRIPTION; LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />G~/C."..v Ji eJ,?,/7.. ""oJ <br /> <br /> <br />'-()OI1J-o;l (J -- 001'0 Y <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED; []NEW CONSTRUCTION <br /> <br />[]SIGN <br /> <br />[]ADDITIO:N <br />[] MOVE <br /> <br />[] ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE; []SGL FAMILY DWELLING <br /> <br />[] COMMERCIAL <br /> <br />[]MULTI - FAMILY <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />~ILE HOME <br /> <br />[] OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Ad:f <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK h ( tf <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL I <br />COMMERCIAL; <br /> <br />~TTACH (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 />PBRMITS RBOUBSTBD <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION; [] BLQCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDBR <br />SIGNATURE. L...J '?-- LJ~ <br /> <br />COMPANY (1 ~ M, If ) <br />STATE CERT OR R GIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />t-< )cy-~~ <br /> <br />COMPANY /JC '- <br />STATE CERTOR REGIST # <br />CITY PROCESSING # i::J ,1/5- <br /> <br />PLUHBBR <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY L)~ <br />STATE CERT ORREGIST # <br />WC>-y--.~p CITY PROCESSING #' <br /> <br />\ " <br /> <br />SIGNATURE <br /> <br />KBCHAHICAL <br /> <br />****************************************************************** <br />COMPANY l1e -"t.. <br />.J. ~ r ~ _.- ~----"If)-) STATE CERT OR REG 1ST. # <br />~~~;- ~ CITY PROCESSING # /&'1 <br /> <br />SIGNATURE <br /> <br />OTHBR <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />