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<br />OWNER' S N~E ~ O'o'-o~ ~\~(OJClQ. ~ ~v-~~ \ '"' ~ I <br />JOB SITE ADDRESS ~~ \,-\""::> s--t.h. f\ ~e. . <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RECBIVED <br />PLANS REVIEW PBB ' <br /> <br />l,,,;~~;,,PHONE CO~c:; ~:~~:~ <br /> <br />,;)~;1 f- b.:1- <br /> <br />\ <br /> <br />SUBDIVISION <br /> <br />"'Le..~"'~, \\ Il.. \~ 'n\<:> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />\~ <br /> <br />BLOCK <br /> <br />PARCEL ID # \ d. - .~ lo - ;} \ - DO '3 b D ~ \ (:) D _ 0 \""30 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~TERATION 0 REPAIR 0 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 /> <br />o MOBILE HOME <br />~THER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ,Q..\o";)€- \f'I t.s>-,~e..\- ~t:>" ~\-Q""'~e.. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />g'tUILDING <br /> <br />$ <br /> <br />'150 . Q...2. <br /> <br />VALUATION OF <br /> <br /> <br />& ( 1 ) SET' ENERGY F6RMS'~ <br />ro.",,, I b;J- \ <br /> <br />PERMITS RE <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[B"'FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [!('NO <br /> <br /> <br />BU<LDBR ill 1Q <br />SIGNATURE' ~, ,~ <br /> <br />COMPANY O~,..., { R~~",+ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <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 /> <br />^~ I <br /> <br />,.,..~J.... <br />