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<br />/ (!,~"uR 37d-- v ~f) :J...-1Cf <br />CITY OF ZEPHYRHILLS PERMIT APPLIeATT.-eN __ _~ <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 '2 -1'/1-0;' <br />DATE RECEIVED ~ L.. r- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME L! IUl 'j ~ ~ Re. N 7? Oc. k)...', L L PHONE CONTACTg'/S-2 /" lj - ~DO <br /> <br />JOB SITE ADDRESS '3'81Il~\le.,.J.u~, ~~~l(h,"Lls J FL. 33540 <br /> <br />LEGAL DESCRIPTION: LOT(S) 12 13 141'5 lip 11 BLOCK f () SUBDIVISION <br />) , J J I <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />~ DE~CRIPTION OF <br />S..eJL KI o v...:> <br />BUILDING SIZE <br /> <br />WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT <br />1: ~ Rou../tJ~ C. 0 AI c.. "e.. ~e.- <br /> <br />APPROVAL <br /> <br />SWI.mM~A)j ~.L ~dLct <br /> <br />HEIGHT <br /> <br />& (1) SET EN~RGY. F~. .' <br />FORMS.. _" <br />(fi0 ,....-/,.- <br /> <br />~~o <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION <br /> <br />o BUILDING <br /> <br />$ <br /> <br />/~ Dlq <br />) <br /> <br />PERMITS REQUESTED <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 />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY "BLue Av~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING Jo..", t2 c ~IJ <br />Vur--"" 70 <br />**************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />OTIIBR . ~ COMPANYc.AAt<. tJ.o.J-s fR.",..t.~N <br />. , ~-;/7 ,( /L-/ ~ STATE CERT OR REGIST # ~OD'S'1~ll'~ <br />Ks.o SIGNATURE .~'-- / ~. CITY PROCES~r ~7~~ =t: <br />~SC{'~bV\ o~~~~i~************************************************************** <br />I, ~ ~~d- Prl~ S<;.-c2er\ ~ cJoS. ov-<r poo ~ i- ~ cJLr+, / q <br />w / c;J-<i-hM~ -= "2 S r X C> a, =- <g1 s a.r / <br /> <br />I Jwj L+ <br />