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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />:BUILDING DBPARTMENT 5335 ~~h STREET ZlllPHYRHILLS, Ji'L 33540 <br />fbonlilI813-780-O,020 Ji'IlXI813-780-0021 /_. (.'~ -03 <br />DATH RBCliIIVED ~ J <br />PLANS RlllVIEW FRB <br /> <br />OWNER'S HANE <br /> <br />~ --- <br />/R/7c-V He>sL,'t'V <br />./ <br />'r- -351 02 ?? J... ~O^--l ~ ,'f't s <br /> <br />PHONE CONTACT <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION; LOT(S) <br /> <br />.Lj;;;! <br /> <br />BLOCK __ <br /> <br />SUBDIVISION <br /> <br />Wri-YeNf9I2O . ~/IV'D <br />/ <br /> <br />PARCEL ID # ;q-';?fa-d2I- (5 /~O-()OOOO- C>LI.:2Q (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: &m:\il CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTAIJL <br /> <br />DSIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE; DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />D# OF UNITS <br /> <br />~BII,E HOME <br />o O'rHER <br /> <br />D COMMERCIAlJ <br /> <br />o INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />c:J RESTAURM~T & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~I vF <br />BUILDING SIZE r!;iP M X .if r;j- <br /> <br />!\J e.<-J 2rYl" Y.R I L~ ~"<- <br />SQUARE FOOTAGE /c5? ~ '3 HEIGH'f <br /> <br />/d / <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLM~S & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COI>1MERCIAL: ATTACH (3) SE'fS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />~ILDING <br />~CTRICAL <br />~MBING <br />~HANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br />c:l ()O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMI? SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D <br /> <br />W.R,E.c. <br /> <br />$ <br /> <br />Q60 g.5! <br /> <br />VALUATION OF MECHN~CIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D S'l'EEL <br /> <br />~ <br /> <br />FINISHED Fl,OOR EIJEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES r <br /> <br /> <br />BUILDIllR <br /> <br />\ <br /> <br />COMPANY Mfl"'/.d..o. .a~~c..7S~w-.J ?:i.4;WJ,;)d#.. <br />STATE CERT OR REGIST # r~ c1aoS- ~~ <br />CITY PROCESSING # :3 0 r'l <br /> <br />SIGNA TURE <br /> <br />* .********.*.********************************************* <br /> <br /> <br />IllLBCTRICIAN~ d&"...T;7~~ ... -V- COM PAN. Y/G?7Z~--]7;L. ~""'k'l:" )Lgr'~Y <br />~ - .. STATE CERT OR REGIs'r # ?-c- 0a6~7g,. <br />STGNATURE f-/ /' - CITY PROCESSING # 30 'f.3 <br /> <br />* **************************************************************. <br /> <br />PLUMElBR "7 /'<??VV~2A:-; :.r <br /> <br />SIO"A~< <br /> <br />***************.***************************************)...********** -...f: <br />MBCHANICAL ;t?,tV U)e../ COMPANY,.-"!-7Z4,Ji";, l ..J....-"V,f'-,"C. fii""-"" w~....L <br />~ · STATE CERT OR REOIS'l' # .c~c.a S-7..5:>9 <br />SIGNATURE ~ CITY PROCESSING # 302..4\' <br />"./ . <br />. ************* ***********************~************************** <br /> <br />COMPANYRo~,~ ~~~~.6,1e.~ ~~A- <br />STATE CERT OR f{EGIST # .:::l?..u o<:Ja.S:~'" <br />CITY PROCESSING # 3of-t( <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************************************************************-**** <br />