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<br />'l\D' <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION -#=- /3 Cft; <br />BUILDING DJlIPARTMBNT 5335 8th STRJlIJlIT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RJlICJlIIVBD <br />PLANS REVIBW PJlIB <br /> <br />OWNER'S NAME <br /> <br />S~~A. ~\~~ <br />SDG\ 1'1-~ ~~. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE CONTACT (~\ =) \, ~ 2 -YI ~ <br />L-~ p~~h.'\ ~~ h 33 CS'-tc <br />SUBDIVISION <br /> <br />JOB SITE ADDRESS <br /> <br />o ADDITION <br /> <br />L> Lio au (!J~C--~ROM <br />~LTERATION <br /> <br />PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br />\ \ <br /> <br />L-l. <br /> <br />'2 <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />LhA~ <br /> <br />~ <br /> <br />o..\c <br />. <br /> <br />~\.....4 ~ VV"' <br />\ <br /> <br />(3,) -+.'" <br /> <br />tf~ <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 />?MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />~~D- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />. 0 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 />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************************~~************** <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY ")Clc.X- <:, \-\'7 ~ ~c., c ~ ~ <br />~ - ~. ,1_. ~ . STATE CERT OR REGIST # ~- o51~Uu <br />. 'Y)'tJL..AJVJ vn' CITY PROCESSING # \ ~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /><:'1 <br />..\., <br />, ) <br />