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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR~ 5335 8~ STREET ZEPHYRRILLS, PL 33540 <br />PhoneI813-780-0020 PaxI813-780-0021 <br />DATH RECEIVED <br />PLANS REVIB1f PEE <br /> <br />OWNER'S <br /> <br />NAME 7Oc~ lJe(1 <br />ADDRESS ~? I.? Ga-// a Iv/) <br /> <br />PHONE CONTACT cf7:? -7 rf'o? -0 Sff-/ <br /> <br />JOB SITE: <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />RelNW~;e -+- R-eplac-e cJ- J(eic.-L".{..-e Zooe:. y210:-(-c'~.r5 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />PERMITS REQUESTBD <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />ft MECHANICAL $ <br />o GAS 0 ROOFING <br /> <br />J .1~(). 4f1~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />mr"lltf""Jf'r'f!'i'ilml1FI'Tllllff;mtffilTi~"a~{t'j~"~"T.JJ'l'Jf!:'ll"""mj![f . , "" ~ , ", ':!1f;"fff[fr}IllmllUii13!1';;1!Jj:rl'!'llIm-iIf;ilf~IJi!E1 <br />(lifj1lt ,!~lt'j,r;l H~r~'lml,ljfi:F'+~'" :.4';Hif:IT~fp.Jn::h4kl':, .1'11 I!, !I}'::- 't 'f!!.t~~tIi.'El]!:ij!ff~~ft!J: !;'It'*:~ti'it~~~~~fi'l' -1' " . <br />_JdEft I. "Ht (Iil;l:.:], H,,t,'.:1:," \":,1 ~l:' lH~,: d H'I< cl11l:JJ",',l Lj _ ". ~.~.. __ . '_' .., ~;."~~ ", 1.~;t <~ d,l~L ,J.u..,,_lI:Jtth.. I.,. u< D.,'. <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <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 />MECHANICAL <br /> <br /> <br />****************************************************************** <br />COMPANY ..}a. hNS C::J~s <>Ii-Se,.,"f'l..<. <br />STATE CERT OR REGIST # Ct+cO rt< $' II <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />