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<br />OWNER'S NAME fr ~N!2-1 <br />JOB SITE ADDRESS (; (.s :3 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ,J <br />BUILDING DEPARTMBNT 5335 8~ STREET ZEPHYRRILLS, PL 33540 -4'f 130 5~ <br />PhoneI813-780-0020 PaxI813-780-0021 <br />DATB RECE:tVED <br />PLANS REVIEW PEB <br /> <br />. P6}-fJ O.t-A-f AJ&.t7'-/ <br />S7E PHtEN..J pA-TH <br /> <br />PHONE CONTACT '788- /1! I) <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 /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.. . <br /> <br />DESCRIPTION OF WORK ..cLA J3 A tJ/J 171 0 ,v <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 REQUESTED <br /> <br />.~ BUILDING <br /> <br />$ 'SS6, CJ1- <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 /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <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 0 NO <br /> <br />~~'lnf"";1'fn'+"IJ'jT'rl"'TFrm'~n~:;r"l1'j;'TIi";'fli!mf'il"~lW':<i":i""f'''''''' "1m:rIr::r . -." -.' . __:m<,"'iiIHlliITIlliII$:lJ.R"""" I <br />.". '. ~. .\ J.. H,;,rf",,,t 1 'I .~" 'I' f!.'4'fiW"I. ",', If" 'f I' . j.f'" 'I'jff' <br />,,'JL~~:tiliii~I~fl"li!jd j,.I, I :~~;lt If ~r 1!,.\t'l,f~.:lj '~:" l~l!:i.~VI',I:1 '" _., ..,... ..~. H.....M. q ,.. ..... .. ".tj;:~{lHL~ I j!lLJH!1..)rL,,:~.A .cJi.,. <br /> <br />SIGNATURE <br /> <br />~1-. <br /> <br />c <br /> <br />COMPANY 0 lIL/ /V'!:: 12- <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <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 />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 />