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<br />'1 ~J1.J.lf ~r~5<'c;:L t:r--i <br />CITY OF ZEPHYRHILLS PERMIT APPLICATI~ ~ <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-780-0020 Pax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />U-d-tJ-V~ <br /> <br />OWNER'S NAME L)ectU PeLhr <br /> <br />JOB SITE ADDRESS 3f??32- pm erh v5T <br />/ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE CONTACT <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 2 ~2?-2(-oo6CJ_ t')CJa?l/ro 02/ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <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 />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~-h7' .fl;/"T <br />, <br /> <br />BUILDING SIZE /L;( 2-:3 SQUARE FOOTAGE ,I I'ILj <br /> <br />I' -;;>1/ (I <br />HEIGHT ...? loP <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 />o BUILDING <br />0'ELECTRICAL <br /> <br />$ -;:;> ~ /tJlJ, ~~ <br /> <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~UMBING <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 <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~_#~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY fJ1CJf1!b~ FleL- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 2 't-~L-- <br /> <br />***************************************************************** <br /> <br />f / CI /1/1 b /14 to <br /> <br />vf;//( M <br /> <br />ELECTRICIAN <br /> <br />~ -d <br />C-GN;~~ p~ <br /> <br />COMPANY .131./ I ( <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ;;2. /(2- <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 />