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<br />OWNER'S NAME eCl If\' CA.f()... 2-1>'1- <br />JOB SITE ADDRESS 3 9) d. f <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION J4:.1 ~ It( <br />BUILDING DEPARTMBNT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 ~ <br />DATE RECEIVED ,~)--- y-()~ <br />PLANS REVIEW FEE <br /> <br />PHONE CONTACTY /S Cj '77- u(, 7;. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />/{ en Y/ e'1 /k <br /> <br />BLOCK <br /> <br />Jephj rl);//J, )-"7 <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: D NEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DALTERATION <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 />D MOBILE HOME <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />e ..2.v/().A:.cd {-i.n d cl;.--vv'\.hJ^ rf t->(j J. ~ <br />I <br />SQUARE FOOTAGE <br /> <br />I 'r() -;;, h (I c..J.. <br />, <br /> <br />/) v.J ,1-c.. (' I.le 0, 14 <br />, L.J <br /> <br />BUILDING SIZE <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 JUILDING <br />0' ELECTRICAL <br /> <br />$ <br /> <br />y / I 0-' <br />l..o" U <br />, I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R"E"C, <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D 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 />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRIC~AN ~) COMPANY "-uv..-;,,,,\:n ~ -r11 F 1e.<:-IIl ~I 71\./(' <br />STATE CERT OR REGIST # r-e ()c..) u c:::t<lo , <br />SIGNATU E ~';iJI CITY PROCESSING,~ ~9 ref <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 />