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<br />Ccd:~.u~ I Q -y-o( Ic(l- <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREBT ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED 1/ -~ ~--'D I <br />PLANS REVIEW FEE <br /> <br />OWNER I S NAME 0/ZAttiJ /.kILle:, 0/'./ IYl _ I_I . P <br />JOB SITE ADDRESS '3'{ SiC; L!jI.//JI? IJ vE <br /> <br />PHONE CONTACT 'If 2 - I {)0 L( <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />Lor 7.S- <br />SUBDIVISION~~ fAlOl ZtJ~ m-lf .:Y. <br /> <br />PARCEL ID # '"J, Lf--z 5" - '2--1 - 00 I D - D 2?~o - o'7,O(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />Os IGN <br /> <br />~lTION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />~ER <br />A l--U hi- I IV VJ1^..- <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />T & HEALTH DEPARTMENT <br /> <br /> <br /> <br />s 1-f!;P <br /> <br />SQUARE FOOTAGE <br /> <br />'5~ t{ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS 0 <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 />P"ILDING <br /> <br />$ <br /> <br />qq I {p , 02.- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[ir'ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W,R.E,e;W/# S'H~O <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />'oiL <br />~ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT :j:N FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />SIGNATURE <br /> <br />L!l.~ <br /> <br />COMPANY &{+(/)tV~nlt.lc.r!a/ ~ ()~ <br />STATE CERT OR REGIST # c8co ?? r'L <br />CITY PROCESSING # 2..(p <br /> <br />fZ,. <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~/L~ <br /> <br />COMPANY /t<-r:;:: P-Uc..Tf2l C <br />STATE CERT OR REGIST # / <br />CITY PROCESSING # <br /> <br />1R-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 />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 />