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<br />OWNElR'S NM1E ~a...~77i"""- ...s-"--.AtP~O <br />JOB SITE ADDRESS 7ij~.::,- ?'.&>-// 25/i/c~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPIJICATION <br />BUILDING DEPARTMElfr 5335 sth STREET ZEPHYRHILLS, FL 33B40 <br />Phone.813-780-~020 Fa~1813-780-0021 <br />DATil RBC:mIVJllD /.2 - S-- !:J Z <br />! - --~~ <br />PLANS RllIVIBlW 'ill ., <br />---..o...-..-~~ _ <br /> <br />PHONE CON'l'ACT 7.:z 7 - &...& 7' - ~ 8 7.7 <br /> <br />Z-=,-P~;t,- /-1//5 <br /> <br />.;:z. J. <br /> <br />LEGAL DESCRIPTION: LOT(S) s~.... <~77.....~.(.~.-..::.-BI~OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSEDI DNElW CONSTRUCTION <br />I)i(SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTAl,I. <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMrr~y DWELLING <br /> <br />Or1UL'l'I - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />rJ MOBII,BJ HOME <br />o OTHER <br /> <br />o CDriJMERC IAI. <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />//VS~ // A/.?l- // S /7'''''/ <br /> <br />BUILDING SIZE ,..2 &, . X / SO ; <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'r <br /> <br />RESIDENTIAL: <br />COMMI!JRCIAI~ : <br /> <br />ATTACH (2) PLOT Pl~ANS & (2) SETS OF BUII,DING PI.ANS & (1) SET ENERGY FORMS, <br />A'fTACH (3) SErrS OF BU!I.DING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BtlILDING <br />~LIilCTRICAL <br /> <br />$ <br />43-~O <br /> <br />AMP ~ERVICIil <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W,R,E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br /> <br />o MECHANICAl. <br /> <br />$-- <br /> <br />VALUATION OF MECHANCIAI, INSTALLATION <br /> <br />o GAS <br /> <br />[J ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEI~ <br /> <br />o OTHER <br /> <br />FINISHIilD FI,OOR IillJIilVATIONS <br /> <br />IS PRO,TECT IN FLOOD ZONE ARIilA 0 YES <br /> <br />01'10 <br /> <br /> <br />BUILDIR <br /> <br />~)iU.~ :ar: <br /> <br />COtiJPANY ~e~~ E'c.c..~,'~ );:'""c.. <br />STATE CElRT OR REGIS'I' # <br />CITY PROCESSING # 3t!:> 70 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />IIILICTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE _._____ <br /> <br />----------------..- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCIilSSING # <br /> <br />SIGNATl1RE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************~************************** <br /> <br />OTHER <br /> <br />S WNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />