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<br />I c~JJ If...p-1/? # <br />CITY OF ZEPHYRHILLS PERMIT APPL~~----------- <br />BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 /j, /. ~ ". <br />DATE RECBIVED L -ee- -D";z'" <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 6~.$ :Pcu..Ja.- knBrlY\k- <br />JOB SITE ADDRESS <;? ~ &. ~fY\bU IAJO-j <br />LEGAL DESCRIPTION: LOT(S) Li BLOCK <br /> <br />PHONE CONTACT ~ 13 (~ ;) -ol.s;, I P <br /> <br />SUBDIVISION <br /> <br />(I,alL[ + ~ u.A.f e.., <br /> <br />PARCEL ID # 15" -,;( LR - a I - () d () \) - 00 GO 0 - OD Y 0 <br />WORK PROPSED: 5iNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <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 COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c. oY\ ~-\-y \A..c.+ <br /> <br />V\e..w ~l ~ilj btc~home.. <br />SQUARE FOOTAGE 1%4 s- .3 HEIGHT <br /> <br />BUILDING SIZE <br /> <br />4Ci)(. '-t~ I 8 ,I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />g BUILDING <br />G21' ELECTRICAL <br />[g" PLUMB ING <br />[3" MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ te (p 500. 00 VALUATION OF TOTAL CONSTRUCTION <br />, <br />d).(X:) AMP SERVICE 0 FLORIDA POWER 0 W. R. E. c. <br /> <br />$ <br /> <br />dqcC.Du <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />E3'ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~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 AREAD YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE ~ Z ,~ <br />~ <br /> <br />**************************************************************** * <br /> <br />BLECTRICIAN ~ rn~ COMPANY 7e. r-hi I \.s [\ec <br />V~~ STATE CERT OR R GIST # ~OO)....lc.--%- <br /> <br />SIGNATURE :...:.............................~~~~.:~~~~~~~~,.............* <br /> <br />PLUMBER <br /> <br />D~J LuLQ~ <br /> <br />COMPANY be V\ n ,~ L. UJ \ l ) I CU'Y\5 pi LU~n to IVlJ . <br />STATE CERT OR REGIST # ;2..&et' - <br />CITY PROCESSING # /<77 0 <br /> <br />SIGNATURE <br /> <br />MBCRANICAL ~ <br />SIGNATURE . ~ <br /> <br />****************************************************************** <br />COMPANY IS Gto....s ... A <br />STATE CERT OR REGIST # Q L <br />CITY PROCESSING # -Ii J 7 <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />