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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZBPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 Fax: 813-780-0021 9-7- 0 L. <br />DATE RBCBIVJlID !/ <br />PLANS REVIBW FBB <br /> <br />OWNER'S NAME <br /> <br />bo..v\d <br /> <br />t De.\oY'es Qc...\\ <br /> <br />..v 0< -t'n \Ct K e 'D '(' '\ \J e.. <br /> <br />PHONE CONTACT <br /> <br />JOB SITE ADDRESS tDSL\ t.() <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />S ,\U€V' Oc. ~ <br /> <br />PARCEL ID # 03 - .,:)u - ).. \ - 0 \ S D - DLf)Ob - 0 ).,LDD <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />0# OF UNITS <br />~SWIMMING POOL <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-:r:: y'\ (A ro lA~ ~ 1 h-e V'"C1 \ n sS \)00\ <br />\ \ <br /> <br />DMULTI-FAMILY <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <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 />$-D ,'~S3.DO <br /> <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <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 0 NO <br /> <br /> <br />BUILD.. ~ a COMPANY C'1D.uJl ,~\=to\<:, <br />STATE CERT OR REGIST # - (." <br /> <br />SIGNATURE . ..~~...~.9........~~~~.~~:~~::~~:.:~:~~~:.~tJs/.4 <br /> <br />:::::::1~ k- 0- ~ <br /> <br />COMPANY 'FE- 6 E \ ee-.trl'L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # \ t){~ <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br /> <br />COMPANY ~IC~H:U D (),JL{'~~ pi) cO <br />STATE CERT OR REGIST # ~~- b~51.S1 <br />CITY PROCESSING # '').S\j7J <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************.*****A************************** <br />