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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STREET ZBPHYRHILLS, FL 33540 <br />PhoneIS13-780-0020 FaxI813-780-0021 8.....1_~..A <br />DATB RBCBIVJlID CL _ C.R';,({.JL_ <br />PLANS RBVIJlIW FRE <br /> <br />OWNER'S NAME <br /> <br />G-h~j) <br /> <br />)Iv 1'-,.z....o;'\J <br /> <br />3?'ti?09 7k~9I~fMN~ <br /> <br />PHONE CONTACT <br /> <br />JOB SITE ADDRESS LeT s-..> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />G-rt;"frlJ J-f G,ro. n..c.'.'1 <br /> <br />PARCEL 10 # <br /> <br />DSIGN <br /> <br /> (OBTAIN FROM PROPERTY TAX NOTICE) <br />D ADDITION DALTERATION D REPAIR D INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI -FAMILY 0# OF UNITS B""f;]OBILE HOME <br />D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />D COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMEN'l' APPROVAL <br />frI. (-(- <br /> <br />BUILDING SIZE ;l 'L.)("~ <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 BU!JJDING 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 />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALI"ATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'I'YPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE .w c...y---;p~. <br /> <br />COMPANY o...~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />w~ <br /> <br />COMPANY Jq.c. <- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY L~ <br />,.. l' ~;..A.--A STATE CERT OR REGIST # <br />~ /- ~ CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br />/1- t:...-<-- <br /> <br />SIGNATURE <br /> <br />W'~//~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />