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<br />OWNER'S NAME p~ J?~~ <br />JOB SITE ADDRESS <3 15 12..( ~ 'Ii( C-C<....~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RECEIVED S r .3 - 0 :J... <br />PLANS REVIEW FEE <br />~ .!J2.l5 2- I :;j -.!;;J-::..L Z- <br />PHONE CONTACT"'J"/3 7(0 14J-l) <br /> <br />/ L...-.or"1 <br />LEGAL DESCRIPTION: LOT(S)~ ~j!.: 1t;;'BLOCK~' 6~ SUBDIVISION r 7 =""'_ <br /> <br />PARCEL ID # I ( -?--b - 2.( 0 D DID ~ J ,-=3 0 0 D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />D ALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />D# OF UNITS <br /> <br />DMOBILE HOME <br />DOTHER <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 4e~~ ~"-# ~J.r( F/'"V-"Y1'<... '-~-o To :2... 0 (.) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 />D BUILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />;z.-.o C) <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ,R,~ ~ rL~, <br /> <br />COMPANY R~ rf.. ~~ ~ <br />STATE CERT 0 REGIST # t) DOl '83 L <br />CITY PROCESSING # 2577 <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 />