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<br />OWNER'S NAME ~flAI S <br />JOB SITE ADDRESS .3 ~ 3(, I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STREET ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED 7,. ;2 5- - o;;L. <br />PLANS RBVIBW FBR <br /> <br />R e J,-lA VI It ~AlI <br />c., e, Sy- [,"'IS f <br /> <br />PHONE CONTACT 7.? 3> -~ /bd-.3 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPS ED: 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />o ADDITION o ALTERATION ~EPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />,X(COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />'j1...p/"'Tce.- 8(./,</1/7"" geL <br />, <br /> <br />/P <br /> <br />/;~~AJ <br />. <br /> <br />~-ee?'9 <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 /> <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 />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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRIC~ <br />SIGNA'l'UR . ~ c..u~"b <br /> <br />COMPANY <br />STATE CERT OR RE~IST # <br />CITY PROCESSING # <br /> <br />;1Jwer <br /> <br />6/-ec. <br /> <br />S er(/_ <br /> <br />****************************************************************** <br /> <br />01''17 ~ <br /> <br />PLUMBBR <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />