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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phoner813-780-0020 Faxr813-780-0021 ~~~ ~ <br />DATB RECEIVBD t/ - /- or-. <br />PLANS REVIEW FBB <br /> <br />OWNER I S NAME {;/44;JP fJO/l {ZO;v' 1Yl-1-I, p, <br />JOB SITE ADDRESS 375lft- L!J/'I/?,> {)\/E <br /> <br />PHONE CONTACT 7 R 2 - / Dc:' t.f <br /> <br />q9 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />c-#W~ H6!l1 COt<! /Yl8'P <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />PARCEL ID # 3l.f--;2J;;- 21 - 0010,- 0 2--<foo- OO~ 9 <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[3--nfSTALL <br /> <br />OS IGN <br />PROPOSED USE: ~FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~HER/JW"/Nv#\ <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />DESCRIPTION OF WORK <br /> <br />D~. pRANT & H~H DEPARTMENT APPROVAL <br />G3:9~ ~ <br />10;< /2 5H~~, I Z-x It (441 >& .>uzEEAl iZtJO/IA I <br />/ , <br />q{2-- <br /> <br />~) <br />I Rx ?> L C/lllfO!.- J <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />~ILDING <br />~ECTRICAL <br /> <br />$ I 'fO!; 0 I if 9 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W,R,E,C, wl(L1[ Sl~et7 <br /> <br />o PLUMB ING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />~A.~ <br /> <br />COMPANYS~'..f (o/V~rllv'-,,\{v/V cF C-?/tJ17'RL-F{. ~ <br />STATE CERT OR REGIST # C Reo 5 '1'l.6'"L <br />CITY PROCESSING # ,/_(., <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />~ 4, ~. <br /> <br />COMPANY ,JtJLr: e-L-/~C((Z.lc <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />1?7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***.*******************.*.********.*.**************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />