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<br />OWNER'S NAME (' /,/-/)" d <br />JOB SITE ADDRESS 38J-lfo <br /> <br />CITY OF ZEPHYRHILLB PERMIT APPLICATION <br />BUILDINQ DBPARTMENT 5335 Sth STREET ZRPHYRHILLS, PL 335.0 <br />Phonea813-7S0-0020 FaxrS13-780-0021 <br />DATE RBCBIVBD <br />PLANS RBVIBW PRR <br /> <br />Hi /-f <br />7r0l0,Xxx{ <br /> <br />PHONE CONTACT <br /> <br />2A,'/ls , rl 3351.jJ- <br />I <br />SUBDIVISION <br /> <br />PL. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # Od-d-6-d-/~O~IIJ.'-OO~C()- 00/0 <br /> <br />WORK PROPSED: [)NEW CONSTRUCTION [) ADDITION ')8fALTERATION [) REPAIR [) INSTALL <br /> [)SIGN [)MOVE [) DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> [) COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />A-/12 <br />I <br /> <br />(~h~otcJ <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <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 REOUBSTED <br /> <br />[) 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 /> <br />o MECHANICAL <br /> <br />$ <br /> <br />75lJ. 00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[) SPECIALTY <br /> <br />[) 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 /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*******************************************~~**~***~***~******* <br />COMPANY rr I 'fs d fs- A Q In (! . <br />1 . STATE CERT OR ""GIST # ('f!t1057977 <br />11 r ~..~ CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />MBCHANlCAL <br /> <br />OTHRR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />