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<br />OWNER'S NAME~j{~-t-S>>l1dr., ~r-;j <br />JOB SITE ADDRESS ,LI !5,;'.(;e # .;li:>'-( <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPBYRBILLS, PL 33540 <br />PhoneI813-780-0020 Pax:813-780-0021 <br />DATE RECEIVED 5" - I S- O~ <br />PLANS REVIEW PEE . <br />'74f,O <br />PHONE CONTAC'fJII 2{Z~ ~.yas <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI - FAMILY <br /> <br />[J # OF UNITS <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />CJ RESTAURANT <br /> <br />DESCRIPTION OF WORK ~'~8i <br />I <br />BUILDING SIZE ~..,.. It) ~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />) <br />SQUARE FOOTAGE Z. 'U <br /> <br />HEIGHT <br /> <br />tf '''' ,. <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 />[J BUILDING <br /> <br />PERMITS REQUESTED <br />$ lor s-2?.. bl:J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />~o~ <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 />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />BUILDER <br /> <br />#!7? <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************** ************************************************ <br /> <br />t1e( , <br /># <br />'Z~~~~~. <br /> <br /> <br />***************************************************** <br /> <br /> <br />~~ COMPANY ;ail P/uyv...b{A)' <br />D ,/ - /~ STATE CERT OR REGIST # <br />SIGNATURE'f.p1t1t 5 & ~A:/l: CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />. .IA I -r/3 COMPANY ~ <br />n~"" f) .. V' l ~ STATE CERT OR REGIST <br />~~ CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />