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<br />&rl Tf7~~ <br />'I? c::) ~ ~ s-/-rr!' e ~f <br />/9 U>S'$" s. ;)()' /./-, E. 6~ I <br />It) BLOCK ~~ . SUBDIVISION tfl{)()r~<. Fr.r-f ~. <br />~ 7<flAMrh/I/S <br />PARCEL ID # 1'I-~t,-c:lI-ODIIJ-1J190()- VIa; (OBTAIN FROM PROPERTY TAX ~OTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 <br />PhonetS13-7S0-0020 FaxtS13-7S0-0021 <br />DATB RBCBIVED <br />PLANS RBVIEW FBE <br /> <br />#'/:236 <br /> <br />.. <br /> <br />OWNER'S NAME <br /> <br />JOB SITE ADDRESS <br /> <br />PHONE CONTACT 7 tR 3 - 8936 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ()\~ o..~ 1 ~<U/ls.ef: /h. '1 <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />~CHANICAL <br /> <br />$ <br /> <br />/1'11. ~c:; <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: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ~LEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 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 /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />********************************************~****~***~~*** <br />COMPANY ~VI ce. I~ . <br />STATE CERT OR REGIST # fC (Y; db <./05 <br />CITY PROCESSING # ~q <br /> <br />MECHANICAL <br /> <br />******************************************* <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />