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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 8~ STRBBT ZBPHYRRILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVBD <br />PLANS RBVIBW PBB <br /> <br />OWNER'S NAME C7Y O~ ~CPHY.eIl/c.-.v5 <br />JOB SITE: ADDRESS 39"fs 0 SourJ.l. Jlll'e' <br /> <br />PHONE CONTACT 7'73- 4-/9/ <br /> <br />JI/4/'/6JAR //.1() <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />o ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE J8::.. DEMOLISH <br />DMULTI - FAM!LY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL D SWIMMING POOL ;0\oTHER <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DCtVlOL i$H N/JI'J Gt,Q,E' /00 <br /> <br />BUILDING SIZE <br /> <br />I <br /> <br />SiO /C. V <br />- <br /> <br />SQUARE FOOTAGE <br /> <br />2000 SF' <br /> <br />HEIGHT <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 />I/' <br />-~BUILDING <br />j/ <br /> <br />PERMITS REQUESTED <br /> <br />. $ <br /> <br />2Gcro~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o N.R.E.C. <br /> <br />[] PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />Wl"fftlF;"I'ftnTflh'fql'I1F'lt]JnlT;I1"l1'i~;;n;rI"'lJrl"'l"w.I'"""',:f":!li\mzr . - - - - - - - WI1mm~I.I'I'1''''''Uf~RmI.'''"''!II'c'".11 <br />llr' , "'tl' I, /'''1 I"'" ,'"'' ' "ern "I ." "',"r_t ' . t IJ I' ,J , mfrlfi,W f;fif~!;:I,%T -ti',~ '" <br />j;';I~;rI'/;;,.. ~'iJt:t,""t,I"'!fr;lrfflf,'.;ir,I;.{lfll',tJ;,tL:l""J-l,.J ,1'BtdX' t}j:i'!{tl'fl"l'~J" ! I'M: ./I <br />~...""""='" -. i ]" ";L~'"",,~ -L.L~ ... h~ .....( ''" \,_.. ~ ~ __ _ "","-,_,-_ """" _~ __~. _~" ,..t. _. J.L"- "."",,,"c[<~.L_"J.;;:~~L~ :.,_"~:t;;:at,;o.~'."""'k...,,,-...f""'''',i ",-_ld.l...;,.r <br /> <br />BUILDBR <br /> <br />SIGNATURE' <br /> <br />tv/!- fgg <br /> <br />COMPANY ~05S {'..o.NS/RVCTION <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 160 <br /> <br />eo~ . INC. <br />, <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCRANlCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTRBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />