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<br />OWNER'S NAME C..\ Q.LA.Ol.t<. C. <br />JOB SITE ADDRESS S'-l oS ~J-...Gl/ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phone:B13-7BO-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />S--J-e.ct'e r <br />Sk.ct <br /> <br />PHONE CONTACT '7 ~-g . 30,9...3 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 1.;l'~<O-aJ- OD31>- OOIoOD _ Oavo <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[g.-R-E P A I R <br /> <br />[J INSTALL <br /> <br />OSIGN <br /> <br />o MOVE, <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />[J MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />[J INbUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />~()' ^Y~- <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <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 />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />\ . D'I3.~O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />fuOOFING <br /> <br />D SPECIALTY <br />.. <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D ~LOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />" ~:.' <br /> <br />", <br />.,-:', <br /> <br />'Y:Fj,,:::;;! <br /> <br />.' ~i_~':" <br /> <br />;', '~:~I!A <br /> <br />.1 COMPAN;-?C~\ .s~.r'l2o<rf;~.~, <br />~ STATE CERT OR REGIST << c.c.''''OSI1/3</ <br />SIGNATURE LL ~ CITY PROCESSING # d)-~ c;.. <br /> <br />....~.......................................................... <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />