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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRRILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RECEIVED ft? -4--0:J. ' <br />PLANS REVIEW FBB <br /> <br />OWNER I S NAME D.,U"tlb Ju.JS- n-v <br />JOB SITE ADDRESS 39t:>is far ~ <br /> <br />~pi.fII,J.;11 F/ <br />, <br /> <br />PHONE CONTACT BIt>,. '/~.Ol?~ <br /> <br />3 SS'~i!) <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />(~CEL ID #-.-:-? -~/.. eeJD .. t)C!)/6D ~ 60 70 <br /> <br />SUBDIVISION <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[J COMMERCIAL <br /> <br />[J# OF UNITS <br />;:fSWIMMING POOL <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />[JMULTI-FAMlLY <br /> <br />[JMOBILE HOME <br />[J OTHER <br /> <br />[J INDUSTRIAL <br /> <br />DESCRIPTION OF WORK I~ pr R.wh AJ.~ ,/l.Gcutlb I.. f rv..)3T!AX:- FE-tJ!E <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />~ILDING <br />~EL~CTRICAL <br />[J PLUMBING <br /> <br />$ <br /> <br />tJo <br /></; Soo <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [J NO <br /> <br /> <br />BUILDER <br /> <br />10 <br />v~~~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br /> <br />. (j5/--COMPANY /J z,JUd}./f ./ <br />~ ~ STATE C~R REGIST-# <br />~ CITY PROCESSING # <br /> <br />*************************~~ *********************************** <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />KBCHANlCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />