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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7BO-0020 Fax:B13-7S0-0021 _ <br />DATE RECBIVED 6 - 3 ()- O~ <br />PLANS RBVIBW FBB <br /> <br />..- <br />OWNER'S NAME ;- f!.. E DD R <br />JOB SITE ADDRESS ~ 0 2,~ <br /> <br />J- rftf( 0 eN F <br />~ EI'JI P,< f<) DGc: .;...71(, <br /> <br />PHONE CONTACT '/83 --2" /7' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />ZEPfl#" I?IDrJ.c <br /> <br />PARCEL ID # () r< ~ 2 fe, - 2) ~ c? / ,.5 [> - D 0 ~C'o-D{J7D (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ONEW CONSTRUCTION ~DITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o MULTI - 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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK R- l:J 1) <br />BUILDING SIZE \~ J... 9 <br /> <br />S.x <br /> <br />8 .s C 1\ E;Ec/L.-J ~ D [l ~ <br /> <br />SQUARE FOOTAGE <br /> <br />-:70 <br /> <br />HEIGHT <br /> <br />~ I ,/ f <br /> <br />R~SIDENTIAL: <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 />2</ DO~ Dj) <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 GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECllANCIAL INSTALLATION (35;; V,;zV -.!J:J-l. <br />o OTHER <br /> <br />o MECHANICAL <br /> <br />$ <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 AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />a~~ 5Ikd~ <br /> <br />COMPANY /9- -J SeD /1/--5 -r- <br />STATE CERT OR REGIST # Cf\ C tJ .5,?~ 2.. J <br />CITY PROCESSING # 14 ') <br /> <br />BUILDBR <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 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 />