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<br />I OWNER'S NAME ~A' J 2.L)/lJ <br />JOB SITE ADDRESS 7~ .!i. 9 1f~~EAL 8/~~ t/<<? <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 sth STREE'r ZEPIIYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATE RBCEIVIllD <br />-----. <br />PLANS RBVIBW FBB <br /> <br />PHONE CONTACT~4?2 -;!;7z <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br /> <br />SUBDIVISION <br /> <br />OD-.OOO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTAr~L <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />IB-CO'MMERC IAL <br /> <br />OMULTI -FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HotlJE <br />o OTUER <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEAL'l'H DEPARTMENT APPROVAL <br /> <br />/ooA~LJ C~I/Er:e- .;lOT<. J4.R/2at/3evJt:---A Ub/-UV/ <br />, <br />SQUARE FOOTAGE HEIGHT <br /> <br />BUILDING SIZE <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 Burr,DING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ ELECTRICAL <br />o PLUMB ING <br /> <br />$ <br /> <br />/ 1J'th:7~ VALUATION OF TOTAL CONSTRUCTION <br />/t' 0 AMP SERVICE ~FIIORIDA POWER [] W . R, E . C . <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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br />SIGNA'l'URE )(~I_~ :z: k?~;.~,,(J <br />I - <br /> <br />****************************************************************** <br /> <br />COMPANY wfifk Ikc7A'C-'9/~ft:-$k""-J;u~ <br />STATE CERT OR REGIST # ~~~~~l? <br />CITY PROCESSING # ~Ot?? <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 />OTHER <br /> <br />"'r...~!tI!o.". ,.,.,' .._. <br />f ***************************************************************** <br />\ .,. . ,'ct'.. .. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />..... f <br />.~ . <br />11.i....: <br /> <br />r.,('...i:~;~' (_,,.~;; ~~io:<;;f < <br /> <br />~.;K'" " <br />