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<br />OWNER'S NAME MIC~A~ T(2(JCft <br />JOB SITE ADDRESS " 2. '5" 0 (~A-U-. 13 V D. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STRBET ZEPHYRHILLS, PL 33540 <br />Phone:813-780_~020 Pax:813-780-0021 . <br />· DATB RBCBIVED /,~ _( dl -",1 ;J... <br />PLANs REVIEW PEE <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~ <br /> <br />PARCEL ID # <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />W AU P(SIGN <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />lifINSTALL <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br /> <br />~COMMERCIAL <br /> <br />oMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />, 20f WkU- ~(6N <br />~~ <br /> <br />po LE- S 16t\J <br /> <br />DESCRIPTION OF <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANs & (1) SET ENERGY <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />J ~OO.OO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />lOT , 'Z. R', '3 7 <br />o W.R.E.C. SQ.ra'r. i'~ <br />HS(,HT 2S <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION P ~ ~: <br /> <br />( '6..107 3/- <br /> <br />o OTHER ~ <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />~ <br /> <br />~:~~~~I~I~(lff;~g~~6- W, <br /> <br />CITY PROCESSING # 12.5 :t:tf T. <br />cJJ'J- <br />**************************************** ~ <br /> <br />OW~I,--o TO C)~/N c2o. <br />COMPANY 1'1 t.I'- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />**********************~******************************************* <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 />OTHBR <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />