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<br />CITY OF ZEPHY~HILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREBT ZBPHYRHILLS, PL 33540 . <br />Phone:S13-780-0020 Fax:813-780-0021 (l'~~ . ",', <br />DATB RBCBIVED 0 ~_ - @.. <br />PLANS REVIEW PBB 'ft <br />I "..."'..- <br /> <br />OWNER'S NAME C IV- '(, \'(\ 0'(" ~ ~ T ~\..) ':> t -Q. .Q.. PHONE CONT~ 1..\ ~.... <.y~ <br />~l ~ ~ S -\- ? , ~ f ,,~ r h,\ \ \ s ~ \ -.-.-,----, <br /> <br />LEGAL DESCRIPTION: LOT(S)2..,.\}.2., '2.3.;?.Y BLOCK l...iYl <br /> <br />1 I 't. '-. , ~ \ ~ 0 \ C 'J.. () 100 1) 1.-\ 0 <br /> <br />f <br /> <br />JOB SITE ADDRESS <br /> <br />5D3~ <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~ALTERATION <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />#R q5 ~ I;9ALti <br /> <br />UNITS H 0 MOBILE HOME <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF <br /> <br />E-cOMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <:'6"-Vlli' 1 ~ QQ~o~\ ~()\}i ~ t U <br />BUILDING SIZE t-J () --,,( LA u 'LO')l <-~ SQUARE FOOTAGE i lj6CJ tJ:r <br /> <br />a \.~ {c.~ S~().S_ ~ <br />HEIGHT ) s to(' Y <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH@ SETS <br />PROPERTY SURVEY <br /> <br />o GAS <br /> <br />&ROOFING <br /> <br />o SPECIALTY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & ( 1) SET ENERGY FORMS. . ".. <br />OF BUILDING PLANS & (1 J SET ENERGY FORMS, , ') <br />REQUIRED FOR ALL NEW CONSTRUCT::V-f). gUy ~ <br /> <br /> <br />PERMITS REQUESTED ~/' '.-!.- =-'-/~ ' <br />VALUATION OF TOTAL CONSTR~CTION --w: ~'5 / <br />AMP SERVICE ~ FWRIDA POWB~ -:U, E,;;- . ~ <br /> <br />VALUATION OF MECHANCIAL <br />o OTHER <br />~ FRAME 0 STEEL 0 OTH R , ~ q-'};s,y <br />IS PROJECT IN FLOOD ZONE ~EAO YES' -l'NO <br /> <br /> <br />~ BUILDING <br />.~ ELECTRICAL <br /> <br />$ 2.0)O()() <br />3- I'2S <br /> <br />.Jg PLUMBING <br /> <br />~ MECHANICAL <br /> <br />$ 3$00 <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDBR COMPANY "O~ Q... c.{"~~\ ~t\ ~'W,Jl ~~~ <br />'\ STATE CERT OR REGIST c::: €> - <.oJ.5' ~~~~ ....------. <br />SIGNATURE~~ ~~ ~ITY OCESSING #. . -~ <br />. 'W ,flO <br />\.N~'C''\::.,~~~ ~..:::~****************************** *ro 7.,]************** .. <br /> <br />BLBCTRICIAN COMPANY /11~__~~~ <br />STATE CERT OR REGIS # <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />****************************************************************** <br /> <br />PLUMB"" /.J. N. a A ;E~~ER\:>O:~~S~ ~~~\:t~ i',~3 <br />SIGNATURB[~, f~~ ifD~ P CESSING # /$00/ ~~"b ' <br /> <br />****************************~*****~* *** * ~~~~1)***~ ,~ ' <br />MECHANICAL COMPANY ~<':"",""R.\\,,<j ~l<.. ~~.r'V,~ <br />STATE CERT OR REGIST # Q.. 1::\ aD h~ ~ s.L <br />- . CITY PROCESS~ # 8 &()!l ~ <br /> <br />**.........*.*....*.*..*........*.~D~~~.......* <br /> <br />OTHBR COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />***************************************************************** <br />