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<br />OWNER" '""" w~",- Cl... <br />JOB SITE ADDRESS 2l 9, ~~ ~.J.. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZKPHYRHILLS. FL 33540 <br />Phon..,81J-780-0020 FIUC:B13-780-00~~TE RECBIVBD '"/ -/9 _(]~ " <br /> <br />PLANs RlfV:tS" "!!lEi ~, <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />'[b6 <br /> <br />o ADDITION <br />o MOVE <br /> <br />[] ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~ERCIAL <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[J/I OF UNITS <br /> <br />[] MOBILE HOME <br />[J OTHER <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HBALTH DEPARTMENT APPROVAL <br /> <br />Q.. ChMr,\).n.. <br /> <br />~ <br /> <br />-('.0 ~~(\. Q <br /> <br />FOOTAGE <br /> <br />CS,Of\5 lv4/! <br />~ <br />HEIGIJT <br /> <br />)/.3/./5 <br /> <br />BUILDING SIZE <br /> <br />SQUARE <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 />[J BUILDING <br /> <br />/1 0'0 0 . <br />I~ PERMITS REQUESTED <br />j~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br /> <br />o <br /> <br />!')I( , <br />y~ <br /> <br />[] PLtJMBING <br /> <br />[] MBCHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SUrLDI!:R. <br /> <br />COMPANy <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*~.***.**.**.**..*...*.*..*..*.**.*..***.***...*.*...**.~.*.....*. <br /> <br />BLBCTRICJ:AN <br /> <br />SIGNATURB <br /> <br />COMPANY <br />STATE CERT OR REGIST U <br />CITY PROCESSING # <br /> <br />.***._***..****.**.*****.****..*****.*..***~.********.*******.**** <br /> <br />PLUMBER. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />KBCBANICAL <br /> <br />***.*A*...*...*******************.*****.**.*****.*~***.********.*. <br /> <br />COMPANY <br />STATB CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OT"'~. c:J--::;:::.rQj::;zz.......:::.:::: ::;;;;;;~.. .~:~:.;. /-VC <br /> <br />V V STATE C:S:RT OR REGIST U <br />SIGNATURE CITY PROCESSING # <br /> <br />d <br /> <br /> <br />s . . .". E /\ <br /> <br />~7LON <br />