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<br />',,-C~P ~"5.,:L !GCJ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMBNT 5335 8~ STREET ZEPHYRRILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED S"- ;l,f' -t? a <br />PLANS RBVIBW FEE <br /> <br />OWNER'S NAME JJ~/At1;/ tA/{1:! 4.NO f.~r;I<.L(J1t!.,...;) <br />JOB SITE ADDRESS 3 &" 1J- 0 lit! AJ li.'l r/~~ <br /> <br />( 0 t<. f _PHONE CONTACT <br /> <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />:2- ~)... 6 ~;1 <br /> <br /> <br />00 If 00 - CJ 1/- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI-FAM1LY <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />o BUILDING <br /> <br />$ <br /> <br />LI, ~O() () (; <br /> <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />{(},J1P,i:T) !J <br />vJII/I/A.tJ -,/ <br />~if /" 0 S~df <br />1;)..1J {c/o'" <br /> <br />IN FLOOD ZONE AREA 0 YES [J NO <br /> <br />o OTHER <br /> <br />[JGAS <br /> <br />[] ROOFING <br /> <br />[J SPECIALTY <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />SIGNATURE <br /> <br />ffl{CtigJ <br /> <br />COMPANY At9A}//) 1A>>~ + .(, f'r IAJL. <br />STATE CERT OR REGIST # fJa;,o I) 016 7 <br />CITY PROCESSING # ;;t'.lq~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />* ** * * * * * *** * * * * ** * * * * * * * * * * * * * * * * * * ~ * * * * ~* * * * * * *,** * ** * * * * * * * e ** <br /> <br />LEPHYRHILlS fIREOEPI. tJ - 1 <br />~. 6'- '1-0~ ~ <br />~-// <br />