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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINQ DEPARTMENT 5335 Sth STREBT ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 5~ ~ <br />DATE RBCBIVED ~ I 2..- <br />PLANS RBVIBW FBB / f <br /> <br />OWNER'S NAME <br /> <br />(4..JJ,n) /-E/ S <br /> <br />.~;( <br />\' 'N <br />....Ja.?41..A/, e <br /> <br />,,-- <br />.:::./ <br /> <br />PHONE CONTACT <br />C., JI ~/j/_c: ~d Z /I jl.s <br /> <br />JOB SITE ADDRESS ~g ~~ <br /> <br />?7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~DITION <br /> <br />D ALTERATION <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 />~BILE HOME <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />D OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ,,4/-1-/ tY"L.) C;A70/;- <br />BUILDING SIZE /pt'r .y:z..' SQUARE FOOTAGE .<)0 ~ <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 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 /> <br />D MECHANICAL $ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION , <br />/ /... I <br />0'" OTHER e&>~.::/<:.~ ).)/1 VL ~ ~ <br />/g/?)h/~39A? <br />D FRAME D STEEL D OTHER (<:: '-J '/ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA DYES <br /> <br />D NO <br /> <br /> <br />~ ~ ~~~~~~G~~GI'i;;~Lr>-U <br /> <br />SIGNATURE -<.)~~...-?-"'l./"'-- ,/~ CITY PROCESSING # [) q ~ '1 <br /> <br />..................................................................~~:>~ <br /> <br />BLBCTRICIAN COMPANY ~l <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />