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<br />OWNER'S NAME <br /> <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATIOJ_ ~~ .3 -5 ~(J':"<- K--rt <br />BUILDING DEPARTMENT 5335 8~ STRBBT ZBPHYRRILLS, PL 33540 <br />Phonez813-780-0020 Pax:813-780-0021 ,'7- 1~'-LJ~ <br />DATE RECBIVBD r:/-- ~ <br />PLANS RBVIEW FBE _____ <br />---- <br />PHONE CONTACT <br />1./ LJ ~ <br />~ e/""Clld' /C5/'7/~ <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK YJIo-!z,/ Nr ( <br />BUILDING SIZE )2- 2, 3 +-7'1 ) Y SQUARE FOOTAGE /DSl.o) <br /> <br />I ) <br />/? I / <br />HEIGHT _ 1 ::t: <br />- <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 /> <br />PERMITS REQUESTED / ~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />3 ^//(Jba, P<J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />15';)3 <br />115~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <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 <br /> <br />YES 0 NO <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNATU <br /> <br />****************************************************************** <br /> <br /> <br />~ <br /> <br />COMPANY ;4/&".fc 11 ~ L- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUHBER <br /> <br />* **************************************************************** <br /> <br /> <br />COMPANY gut( jJ / tI P? (;~ Co <br />~, . ~ //~"~ STATE CERT OR REGIST # <br />~~ CITY PROCESSING # ,2.. t { 2- <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />