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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTMBNT 5335 8~ STRBBT ZBPBYRBILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATa RBCBlVED <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME <br /> <br />Kob.{rt <br />lt12~ <br /> <br />F~.eI\LH <br />q 4---"- )" + <br /> <br />PHONE <br /> <br />CONTACT3S').-7c,1-CjtJor <br />t=r IJ Ii,,;t- <br /> <br />JOB SITE ADDRESS <br /> <br /><<p~ I( f/-ftUS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />, <br />-4100 i h~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />r<fvtCJ~ k lVuALlltJ AJ (US ;II~ <br /> <br />SQUARE FOOTAGE ~ HEIGHT <br /> <br />(; tJ, -ce !'II(9-l '; <br /> <br />BUILDING SIZE <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 />?- f<:i() ,6 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />COMPANY (Lc..-'-' CO"1~:e <br />STATE CERT OR REGIST # <br />CITY PROCESSING # :2~~)?, <br /> <br />BUILDBR <br /> <br />SIGNATURE <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 />****************************************************************** <br /> <br />HBCHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR erf'1c r.e-fa- C!.f/'Vt f-R-AC-roR.. <br />SIGNATUR~.a-/'--,~ <br /> <br />COMPANY k~ f~LO <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />/~ - <br />L cn,c~re/7e.. -,...A ""~'M!J Me. <br /># ()6CJ." -, <br />dSO~ <br /> <br />***************************************************************** <br />