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<br />OWNER'S NAME 6' /j- ~ d ~ 61'14.. p, -::IeI ~ k ( PHONE CONTACT <br />JOB SITE ADDRESS 6.ssCJ ;::r; C,'I-'j ~~ ;eel' 4,v~ ':/4; /--/ Jj...[.....A// <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 sth STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATE RECEIVED cZ - ;i..~ - 02- <br />PLANS REVIEW PEE _ <br />",-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #&.f-106-~/-(!Jt!/(10-eJ&P,!lt!7-c.1tfJt? 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUCTION I)!l ADDITION DALTERATION D REPAIR D INSTALL <br /> <br />D SIGN <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 />D MOBILE HOME <br /> <br />l8'J COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK flcl d, . -I. "," <br />,. <br />XL V f),.I,:y/r <br />BUILDING SIZE ~ t:7,1f 0/ <br /> <br />-f 0 t/VI (! if 'c t) / {fJ 1'1". C' e <br />SQUARE FOOTAGE ;J 9 ~ ~ HEIGHT <br /> <br /> PERMITS <br />{lzJ' BUILDING /6 "J~~,t dJ!. <br />$ VALUATION OF TOTAL <br /> . <br />~ ELECTRICAL AMP SERVICE D FLORIDA <br />~. PLUMBING {l1J <br />~MECHANICAL $ ,,~.s.--tJ & VALUATION OF <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT <br /> <br />.~ <br /> <br /> <br />i? <br /> <br />COMPANY ~ d 4.1-' i., <br />STATE CERT. OR REGIST # C C & - <br />CITY PROCESSING # ~1. ;,.,? 7 <br />/ ~ , <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />COMPANY 0(r~c~.l/ss Efrc.;b:.r'C- <br />STATE CERT OR REGIST # {tjo (') d, <..,..... 7 cJ <br />CITY PROCESS~ /f~ <br /> <br />******************************************************** <br /> <br />PLUMBER ;t7 %~.., COMPANY' ~ \ , 'lU #1, l t.u <br />/I ~(../ / STATE CERT OR REGIST # t-co I ' <br />SIGNATURI( A " <~.u /'- "~ CITy PROCESSING # I 6 ~ <br />- C-7J~ ~~I tj <br />*******************************************~************ **~**~, A ~~ <br />MECHANICAL COMPANY T\IJJS..JJ,/ CQA/ ('o..l- fla.../''f- /:TC-" <br />STATE CERT OR ~GIST # <br />CI,Y PRO SSING # /B~ <br />** * ~~1ii: * i4~c:.-*1. * PiJ, <br /> <br />ELECTRICI <br /> <br /> <br />SIGNATURE <br /> <br /> <br />********************** <br /> <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />