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<br />I ~..tl(}/7)1/ . r -{J;J ~l <br />CITY OF ZEPHYRHILLS PERMIT APPLICA~~~' 3":J, ~j <br />BUILDING DBPARTMENT 5335 8~ STREBT ZBPHYRHILLS, PL 33540 <br />PhoneaB13-7BO-0020 Pax:B13-780-0021 /J- /} J _ I~ <br />DATB RECEIVED ~.?<..~ O~ <br />PLANS REVIEW PBB <br /> <br />OWNER'S NAME <br /> <br /> <br />,PHONE CONTACT <br /> <br />JOB SITE ADDRESS <br /> <br />~ ~I!-O "?- <br />.$1 IS-- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: <br /> <br />PARCEL ID # <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />j41t1~~ 4, y <br /> <br />BUILDING SIZE <br /> <br />/2,'/ 7t3 <br /> <br />SQUARE FOOTAGE ) J...s-~ <br />, <br /> <br />I ( <br />HEIGHT /3/& <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br /> <br /> <br />FOll~ ptJ~ <br /> <br />o BUILDING <br /> <br />$ ;;)r{/<jOD <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <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 />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 <br /> <br />o NO <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ~~iY) <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />'M~ <br /> <br />BLBCTRICIAN <br /> <br /> <br />PLUMBER <br /> <br />************************************************************** <br /> <br />~ COMPANY B!I/6 ,fJ!ttVU,J;;6 <br /> <br />~ / ~.) _ ~.' '. STATE CERT OR REGIST # <br />~~~_~-_________ CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <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 />