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<br />.I~~ ~;<7-- f];;Z t:::;I- <br />CITY OF ZEPHYRHILLS PERMIT APPLICA'I'ION - ,- <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 ' <br />Phone: 813-780-0020 Fax: 813-780-0021 -'2 ,,/1).,. ~ <br />DATE RECEIVED ,;,k.. 10 <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME G!ZtA-/J/) J-J~fl- { Z o;J M /-1 , f ' <br />JOB SITE ADDRESS 3 '7 52-- ( L 0 fZ-E IV If ;:; V E <br /> <br />PHONE CONTACT '1 f 2 ~ ) U0 I.{ <br />LDf lor <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(~lAM;J HtJ(Z1 co#' JI1j1 p- <br /> <br />PARCEL ID # 1 <f- 2-')- _ ~( - 00 { 0 - o7foo - 01 of' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />BQ;HER <br />4/..-v'rYll,(./<,/1VL <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~) <br />t1@ ~/:.~ <br />I zy /5" fLA 1~0J Sc/26/~tJ f2<>ovr., l'z~ 12-- S/-IFtJ. J f;>< 7t CA(2pOll-i <br /> <br />SQUARE FO:TAGE q/~ I HEIGHT <br /> <br />BUILDING SIZE <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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~ECTRICAL <br /> <br />$ If3~3, .2f <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. W(~ 5f1t=O <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 />SIGNATURE <br /> <br />~ il fhtA7 <br /> <br />, <br /> <br />COMPANY [) t?! [ON7rl-/J t::n 0"'/ tE ~ P-- <br />STATE CERT OR REGIST # C r?c..o 5" 01 L <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ !l < Oot.& <br /> <br />COMPANY 4~ FL-cc....nltL <br />STATE CERT OR REGIST # <br />CITY PROCESSING # liP'7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHA1UCAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />