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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~ON <br /> <br />. BUILDING DEPART~ 5335 8~ STRBET ZBPHYRHILLS. PL 33540 <br />PhoneI813-780-0020 Pax:813-780-0021 <br />DATE RBCBIVBD <br />PLANS RBVIBW PBB _ <br /> <br />OWNER'S NAME J 2::> t-CU-(/1 .0 kl' L b I,f I/-\. <br />JOB SITE ADDRESS l S/C/S- 5'1;;(I11f11fV/.JI.([ fJv <br /> <br />PHONE CONTACT,y / J -. 7 Y cf 7 Vcr '7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />,:),;( <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />5~1 YIJ lhfvM (C <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />DADDITIO~ <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING P<loL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />.. <br /> <br />DESCRIPTION OF WORK~ <br /> <br />o RESTAURANT <br />..,.-- <br />fYf1C I if <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />y ,..- )/;'3 i~ <br /> <br />/ <br />fole,. ( 1'-t:GI '~ 77 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <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) SE~ ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~G <br /> <br /> <br />D ELECTRICAL <br /> <br />~ /O()Of <br />. <br /> <br />PERMITS RBQU.STBD <br />~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER IL COMPANY <br />c::::;-; C/ STATE CERT'OR REGIST # <br />SIGNATUREi/~ 6 ./"'-... ._______CITY PROCESSING # <br /> <br />***************~*************~****.************.*******.******~*. <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****.************************.*.**..***.****************.******.** <br /> <br />PLlJHBBR <br /> <br />COMPANY <br />STATE CERT ORREGIST # <br />CITY PROCESSING # - <br /> <br />-) " <br /> <br />SIGNATURE <br /> <br />IOICHAHlCAL- <br /> <br />******.******.**********************************..*******.**.***** <br /> <br />COMPANY <br />STATE CERT OR REGIST. # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************....*..**********************.**************.*.**** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************.******************.************.*******.********* <br />