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<br />CITY OF ZEPHYRHIIJLS PERMIT APPLICA'l'ION <br />BUII,nINC~ IJEPAR'l'MElN'r 5335 Sth STREE'f ZBPHYRHILLS, FL 33940 <br />PhoneIS13-780-0020 PaxI813-7S0-0021 <br />DATil RBCBIVIID ____________. <br />PI,ANS Rl!lVIBW FilII <br /> <br />, OWNER' S FiAME----.f./~~f'/)~I[T _) L:I?"- r C Cf" fQ., PHONEl CONTAC~_________ <br /> <br />,TaB SI'fE ADDRESS /6J I GfhL_(f(0~______________._________________________ <br /> <br />L~GAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />--._----~_.- <br /> <br />PARCEL, ID # <br /> <br />[JADDITION <br /> <br />(OBTAIN F'ROM PROPERTY TAX NOTICE) <br />~I/rERATION <br /> <br />[J REPAIR <br /> <br />IJ INSTALl, <br /> <br />WORK PROPSEDI ONEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />[J MOVE <br /> <br />rJ DEMor~ISH <br /> <br />DESCRIPTION OF NaRK <br /> <br />PROPOSED USE; [JSGL FAMILY DWELLING <br />~MMERCIAlJ <br />D RESTAURANT & HEALTH DElPAR'rtIJEN'I' APPROVAL <br />/Ntr~~~LL_~I._ ~,'I 5~~_____~__~_ <br /> <br />[JMULTI - F'AHIlrY <br /> <br />0# OF UNI'I'S <br /> <br />[) MOBILE nOF-Hn <br />[] OTIIIllR <br /> <br />o INDUS'l'RIAI, <br /> <br />[] SWIMMING poor, <br /> <br />BtJILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RES IDEN'J'IAl,: <br />COMf'.1ElRCIAl~ : <br /> <br />HBlIGHT <br /> <br />A'I'TACH (2) PLOT PLANS & (2) SETS OF BUII/DING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUII,DIN(~ PLANS & (1) SE'I' ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR AI,I, NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BllII,fIING <br /> <br />$ <br />.___LO 0 <br /> <br />VALUATION OF TOTAl, conSTRUCTION <br /> <br />~lJI!JC'l'RH~AL <br /> <br />AMP SERVICE <br /> <br />P.r nORIDA POWER <br /> <br />[J W.R,E,C. <br /> <br />[J PI,UMB ING <br />[] MIlJCHAIHCAL <br /> <br />[J GAS <br /> <br />[J ROOF INr1 <br /> <br />$---------- VALUATION OF MECHANCIAIJ INSTAI,I,ATION <br /> <br />[J SPECIAllfY <br /> <br />[J OTHER <br /> <br />'I'YPE OF CONS'l'RUC!'flON: [J BLOCK <br /> <br />8T"FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA!:] YES CI NO <br /> <br /> <br />BUILDER <br /> <br />---- <br /> <br />COMPAtlY <br />STATE CERT OR REG 1ST # ___ <br />CITY PROCESSING t~ <br /> <br />8lGNA'fURE <br /> <br />.L.CTRIOIAI!~. ".-' , <br />SIGNA'l'lJRE . <br />- <br /> <br />****************************************************************** <br /> <br />COMPANY ~e s (Z/~c-t~(J CiJ 1.",Ia!,:~ <br />STATE CERT OR RECHST # G t:. /3 ~:J...3 ~S__________ <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />****************************************************************** <br /> <br />--_._--+-_..~---- <br /> <br />COMPANY_______,-__________.____.__.___. <br /> <br />S'I'ATE CERT OR REGIS'I' # ___________ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHANICAL COMPJ\NY ___________________ <br />STATE CERT OR RIHHST tI____________ <br />SIGNATURE CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />--_._------------~_.- <br /> <br />..--- -------~--~-+.._-- <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />---------_._~ <br /> <br />***************************************************************** <br /> <br />! <br />----------- - <br />