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<br />OWNER'S NAME 00hn PaY' k..er <br />JOB SITE ADDRESS 3q70~ AM€. t"h't~t <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPART~ENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 LJ' .' <br />DATE RECEIVED +- - ..(?Lf'-4I..2.:.. <br />PLANS REVIEW FEE <br />~uza.",...!- &A,.... 7<6g- 53(<<-1 <br />PHONE CONTACT t.' u -- . -18 <br />381Al:l3S lJLNl:l3d 08S\fc <br /> <br />k)~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~nt-eJ'oJd. Po,~ <br /> <br />PARCEL In #~t./-~-~I-005"O-OoOOO-d..O?'O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(J ADDITION <br /> <br />JdALTERATION <br />(J DEMOLISH <br /> <br />(JREPAIR <br /> <br />(J INSTALL <br /> <br />(J SIGN <br /> <br />(JMOVE <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br /> <br />(J MULTI - FAMILY <br /> <br />(J # OF UNITS <br /> <br />(J MOBILE HOME <br />(J OTHER <br /> <br />(J COMMERCIAL <br /> <br />(J INDUSTRIAL <br /> <br />(J SWIMMING POOL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 6c..Y'~e...n lA.V\der l" JL('5-t-\I~~ &rror~ <br />" .1 (LQ r-h /3'-711 <br />BUILDING SIZE I ~ 'lL t'"t SQUARE FOOTAGE lD 0 'j' HEIGHT_ <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 /> <br />$ I g ()(), ()(f) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J W,R.E.C. <br /> <br />(] PLUMBING <br /> <br />(J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />(J ROOFING <br /> <br />(] SPECIALTY <br /> <br />(] OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />(J FRAME <br /> <br />(] STEEL <br /> <br />J i. <br />'IJQ OTHERcL {,(/1,(f /Va- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES <br /> <br />(J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY Ow J1.Vv <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />