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<br />OWNER'S NAME Trma.. r-pe.,loito <br />JOB SITE ADDRESS 3 7 7~? AI eLc' Pt rY- <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBET ZEPHYRHILLS, PL 33540 <br />PhoneI813-7BO-0020 FaxIS13-7S0-0021 <br />DATB RBCEIVBD II- .:zoO ~O::z <br />PLANS RlIVIBW PBB <br /> <br />PARCEL ID # ~3-d<'o-oU -;- 6130'-0000::) ~ Oa70 <br /> <br />PHONE CONTACT ($r.5 ..) 7/l.( - O/L(15~ <br />Z.eOJU-lrA ,'lis <br /> <br />SUBDIVI~ION . ~Q.p~~"- R,dse <br /> <br />Dr-,'v-e. <br /> <br />LEGAL DESCRIPTION: LOT (S) 0{ rr <br /> <br />BLOCK C!C)CDO <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[J ALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />(] DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI - FAMILY <br /> <br />[J# OF UNITS <br /> <br />1Q1:10BILE HOME <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK mOb: Ie... tbm-e P/(LC!..€menf <br />;)g Xi.rd 0 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE I, f11 [J 0 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (.2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />MBUILDING <br />[if ELECTRICAL <br />g'PLUMBING <br />&'MECHANICAL <br /> <br />PERMITS REQUESTED <br />$ 34f)~O j:;'tJO() <br /> <br />. , <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [J NO <br /> <br /> <br />BUILDER TO-.'fY'\.es ~t\..ey <br />SIGNAW~ 1/.. tfl. ~ <br /> <br />COMPANyG <br />STATE CERT OR REGIST #.::r: <br />CITY PROCESSING # ot~;L1 <br /> <br />Jf <br /> <br />***~******r*********~.**************************************** ~, <br /> <br /> <br />ELBCTRICIAN /(' II COMPANy-oO(ph; h Eh~r-pr-i-z.es <br />J,--:' - . . l l (! ,", STATE CERT OR REGIST # Er<..ODOOSCD<...( <br />SIGNATURE .,"':!- \.::t CITY PROCESSING # <br />I <br />! <br /> <br />PLUMBER SO-VY'-E" os ~ \i'-.€. y- <br />SIGNATQ,~ ~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />..... - <br /> <br />*** *....* ~*******., *;. ***.'(1.*7*. ;************~**f'*~*t******~********.. <br /> <br />it COMPANY Ublphl h t=\l (' ~~;~~$. <br />/Co. . /1'. l STATE CERT OR REGIST #C~(' <br />.' > -'.. '"- - /' /( L '- \... ".:-.. CITY PROCESSING # <br /> <br />COMPANyGO-.~y-\rCL:Y'\..~ \:0 r-~ <br />STATE CERT OR REGIST # ..::s:::"\:\ODClC <f f.n ( <br />CITY PROCESSING # 'd.-2";}.-/ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />