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<br />I CeJfJ~JJ ' _ <br />CITY OF ZEPHYRHILLS PERMIT APPLICA'TlOO _ (p -3- 0 '::Ld <br />BUILDING DEPART~ 5335 8th STREET ZEPHYRRILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 __ <br />DATE RECEIVED .j ~ d'lt-O,j... <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME CA \2..L ~. -SUU:1.V'A,J <br />JOB SITE ADDRESS 520 I 01J!.. ST. <br /> <br />PHONE~NTACT (rl;)] 11 S- '1CD~ <br />( '-- . <br />- <br />----~------ <br /> <br />LEGAL DESCRIPTION: LOT (S) 3+4 ~ItTH JS(OfS BLOCK <br /> <br />IqL( <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />\\- 2(p - 21-(X)\O -1'1'100- CO '3 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />1&1 ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ogSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK (Y\A~T2~ R2\,:)~COfV\-\- r.,AI"r\Q.CX)M, <br />BUILDING SIZE ~l X l (.p SQUARE FOOTAGE <br /> <br />SCi2 <br /> <br />HEIGHT 8 FT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />IKl. BUILDING <br /> <br />$ <br /> <br />\ la,ero <br />200 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />I)!I ELECTRICAL <br />~ PLUMBING <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />I&l MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />Ig'ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />~ FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ NO <br /> <br /> <br />BUILDER (!~ J~ <br />SIGNATURE CP.V-.L SULL-r-I/ Ar--J <br /> <br />COMPANY OWNc~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN L?~ ~~ <br />SIGNATURE CAQ.c &JLL'ZVAo-J <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OUJNC:.~ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />Cw dJL~ <br />CA~L .suu.::LVA"-.l <br /> <br />COMPANY cw tveIL <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY {jWNf::;'"i.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />COJlL S ~\ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR \LC()r llV (..0 <br />SIGNATURE ('['",10 0~' <br /> <br />COMPANY Q()JjJE"'-- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />