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<br />l (!~~tl 3~02~t'~U-j' <br />CITY OF ZEPHYRHILLS PERMIT APPLICATI(SN ~ _ <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RECBIVED 3 -c;2.b - tJ8--. <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME Lou)(Qnce h"ipJLr <br />JOB SITE ADDRESS SLR30 Ii \-ht)-t. <br /> <br />PHONE C()NTAC~l~) -7)3' -07~ C <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #~- ZLt .-2/- OO}O -J[J90D-DJ20 (OBTAIN <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~LTERATION <br />DSIGN 0 MOVE 0 DEMOLISH <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE;~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />ffi~I,()~;{1j QtVp.or::!: i~~ rmnhal WaltoJi1a~. <br />c9a X f L SQUARE FOOTAGE 1 HEIGHT ti2.. ..['-1-, <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br />5,(!)OO <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />'N(' <br />/' FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION~LOCK )X(FRAME <br /> <br />FINISHED FLOOR ELEVATIONS ~'~'(l~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~O <br /> <br /> <br />BUILDBR t"' <br /> <br />SIGNATURE X7 flr~ y;J, KI.F <br /> <br /> <br />********************************************* <br /> <br />BLBCTRICIAN <br /> <br />S'GNATURJ<;0 Un];;; K ( l~ <br /> <br /> <br />***************************** <br /> <br />COMP <br />ST E CERT OR REGIST # <br />TY PROCESSING # <br /> <br /> <br />*********************************** <br /> <br />PLUMBBR <br /> <br />,/ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.. <br />" '''.. <br />*****************.**********~************************************* <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />TATE CERT OR REGIST # <br />CI ROCESSING # <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />********************************************** <br />(' <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />