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<br />OWNER'S NAME '~eN -=5~\(VII'''-' ~ f',15JA RtX'lij-t3 ,--no" ~7 <br />JOB SITE ADDRESS 3 C) ~ Y.5 fY\pf+tb,,vcvrl ~~f .2p~. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STREET ZEPHYRRILLS, PL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW PEE <br />3 5:2 ~ <br />PHONE CONTACT /9""7- 5..550 <br /> <br />LEGAL DESCRIPTION: LOT (S) (!T3 SO <br /> <br />BLOCK C~ <br /> <br />SUBDIVISION <br /> <br />c>; 1:/0' rrrJ <br />Irr4~"I , . _ t-<:{.h:rI6 <br /> <br />PARCEL ID # _<) i ~ T:2" fZ.21 <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~PAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />rzeY'<'\~ -e.-l <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 />o BUILDING <br />[ff'ELECTRICAL <br /> <br />$ <br /> <br />I C\ '5 ~ I . 00 <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o MECHANICAL $ <br /> <br />AMP SERVICE 0 FLORIDA POWER o W.R.E.C. <br /> ~_2/?-/9;gt; <br /> VALUATION OF MECHANCIAL INSTALLATI~ <br />0 OTHER <br />0 FRAME 0 STEEL o OTHER / <br />/ <br /> / <br /> <br />o PLUMBING <br /> <br />o GAS <br /> <br />ID'ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />YES 0 NO <br /> <br />SIGNATURE <br /> <br />~~~., <br /> <br />COMPANY A d('tl (l(IA1S4~7Il..JC / <br />STATE CERT OR REGIST 1 cr;. --Co <br />CITY PROCESSING # OJ...q 71 <br /> <br />') I)<~ c; <. <br /> <br />BUILDER <br /> <br />.~~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY t.1....:sA ~\~c.~~ ~p-,..R-\ ~y..( <br />STATE CERT OR REGIST # <br />CITY PROCESSING # :l q r'fJ <br /> <br />ELECTRICIAN <br /> <br /> <br />~ <br /> <br />***************************************************************** <br /> <br />COMPANY U'\~ J \ ~ 1 \0 :'f\D ;ng <br />STATE CERT OR REGIST # C.J::'C_ S'f)tI(...8' <br />CITY PROCESSING # l'inco 61/"'t).2~.J' <br /> <br />************************************************************* <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********************************+***************************** <br />