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<br />~WNER' ~ NAME fi~Jr Sty7>J; (]'/Uk/f .1 ~U '!etnLlJ" <br />JOB SITE ADDRESS S S 3 Do nA'I-'" ;:) ve. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION . <br /> <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RECEIVED ~J2; 5":-,O~. <br />PLANS RBVIBW PEE <br /> <br />c.),\JWJ-~\ G /1..( ~ tJ '}- <br />,et <br /> <br />PHONE CONTACT i ~~ - ss 71 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED:~EW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o HOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF <br /> <br />M' COMMERCIAL " 0 INDUSTRIAL <br />r ~~.,. '""" S'-~ <br />c=J RESTAuRANT & HEALTH DEPARTMENT APPROVAL <br /> <br />WORK -2 .r~~'1 /1-, J4.! SOt: 'Vi,-, ffcluc.t)")._....... <br /> <br />J'if 1'1< S~ <br />I <br /> <br />o SWIMMING POOL <br /> <br />.8"'''f . <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />) 1 /1~ <br />I <br /> <br />HEIGHT <br /> <br />.., <br /><. S'7l:J12 > <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 />~l)~ <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />I 00 fD 00 t:) VALUATION OF TOTAL CONSTRUCTION <br />I I <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: ~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />Q(3)(p~lrll{1 <br /> <br />IS PRO.JECT IN FLOOD ZONE AREAO YES 91 NO <br /> <br /> <br />PLUMBER <br /> <br /> <br />COMPANy/11 ~~\J'-~ 14 I r~tr ~c... <br />STATE CERT OR REGIST Jt c.r-~ ~ S~ 7 _~(" <br />CITY PROCESSING # ,;(Cf // <br />rJ . S to ~. <br />****************************************************************** 0 , <br /> <br />COMPANY /1MI'>';; gLl?ch;c ~/ <br />STATE CERT OR REGIST # C C- C;(}) 3 <br />~....... CITY PROCESSV' - I . <br /> <br />****************************************************************** <br /> <br />COMPAN{';,dec,(J~ k ~re [b ?\u ~Y\. <br />STATE CERT OR REG 1ST # c..F C. 0 <br />CITY PROCESSING # <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />BLBCTRICI~~ <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************* <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />~ COMPANY <br />~ <; STATE CERT OR REGIST # <br />" C~ ~A~ CITY PROCESSING # tl.'JtJ :~ <br /> <br />****(2*********************************************************** <br /> <br />~. <br />c; <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />