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<br />OWNER I S NAME ~0 E I '(n <br />JOB SITE ADDRESS lot 4- 1<6 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, PL 33540 <br />PhoneI813-780-0020 PaxI813-780-0021 r1_(_~n <br />DATE RECEIVED - ( V~ <br />PLANS REVIEW PEE <br />~13 <br />PHONE CONTACT ...., 1 q - '3 S 10 <br /> <br />PARCEL ID # <br /> <br />w~ tYlE-'( <br />~;;ll \ -z. 4L'f>~~ <br />\ <br />l~ <br /> <br />3 - ~"-21 ~ 6\ 'bO - 600C6- Ot~o <br /> <br />R1~ <br /> <br />V~ \Jt. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />z. ~aq ~ <br /> <br />WORK PROPSED: i(NEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />b( INSTALL <br /> <br />o REPAIR <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK -::I:1\s-tA.\\ J\\<U.0 \11010. l~~L <br />BUILDING SIZE ';)<6 X 4 ~ SQUARE FOOTAGE I 34 t/ <br /> <br />HEIGHT <br /> <br />I z. I <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 />~ BUILDING <br />~. ELECTRICAL <br />'lStPLUMBING <br />)it MECHANICAL <br /> <br />- e:i3) <br />$ ScP lOCO. <br />ISD <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~W.R.E.C. <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />$~, I DO <br /> <br />00 <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 />)( OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br /> <br />BUILDER <br />SIGNATURE~ ~ <br /> <br />COMPANyG At-oR. IILA fY6 ~ . }to> '5 cct ~ <br />STATE CERT OR REGIST # "':t.t-..\-OODOt{Io, <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRIC~ <br />SIGNATURE ~ <br /> <br />~k <br /> <br />COMPANY Jo (LOOy\ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />t:- \ ~c.:t~_-i e.- <br /># 8< Dooc.lC06 <br />tiC> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURR~ ~ <br /> <br />'croROOY) t> 1<,<,,\,.,.10: @t <br />COMPANY-- I _ <br />STATE CERT OR REGIST # "R,:- ()64-'Z:~ . <t <br />CITY PROCESSING # --1 ~ lJ <br /> <br />******************************************~****t***~********~*,.~ <br />MECHANICAL . COMPANY A~~ S 61\'5 Y 1-\ \.!- <br />~ !1\.,fL. V STATR CRRT OR RRGIST # CI'\-l!.o '-I ~ <j Y'l; <br />SIGNATU JV ~~ CITY PROCESSING # 17 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />