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<br />OWNER'S NAMESAtJ AtJTDNIQ FS/ElZA-L C <br />101 8 \Ie>. V~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPART~ 5335 8~ STRBBT ZBPBYRBILLB. PL 33540 <br />Phone.813-780-0020 Pax.813-780-0021' /_ .., /1 ~ <br />DATB RBCBIVBD ~-(/~J <br />PLARB RBVIn 'l'BB . <br /> <br />JOB SITE ADDRESS <br /> <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION, LOT (B) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPBRTY TAX NOTICE) <br /> <br />D ADDITIO~ <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />~IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />, <br />PROPOSED USE: DSGL FAMILY DWELLING <br />.PtCOMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING. POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT <br /> <br />PROVAL <br /> <br />DESCRIPTION OF WORK <br />. l,..a~ <br />BUILDING SIZE <br /> <br />, N c;i7rLL '2 <br />NE.W l <br /> <br /> <br />POLe l$;lGNS MOVE.- E'X(~N~ t)l <br /> <br />, ~ I - "2.2- <br />SQUARB FOOTAGE HEIGHT . I _ I , ' <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENBRGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET BNERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />g BUILDING <br /> <br />$ '2+710.00 <br /> <br />PERMITS RBaUaSTBD <br /> <br />o BLECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />D ROOFING . D SPBCIALTY <br /> <br />D OTHBR <br /> <br />TYPE OF CONSTRUCTION: 0 Br.qCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARBAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY APPlE: <;l~tJ ~ A~N''''&- <br />STATE CERT. OR REGIST # C CA I' 8' 12- <br />'CITY PROCESSING # 1%.5 <br />. ~-- j kJl!-1 ~~. <br />~*************...***..*....**.****..***.*~**.*** * ~.******~.. <br /> <br />SIGNATURE. <br /> <br />BLBCTRICIAH <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERTOR REGIST # <br />CITY PROCESSING # <br /> <br />PLUllBBR <br /> <br />**.*.****.*..*...*..*.**.**.....*.*..***..*.****.**.*..***..*.**** <br /> <br />COMPANY <br />STATE CERT OR.REGIST # <br />CITY PROCESSING # . <br /> <br />... " SIGNATURE <br /> <br />IIBCIlAHICAL. <br /> <br />******.*..**..*.*.**********..*..*.***..**.****.**.*********.***** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTSBR <br /> <br />***************.****************************************.******** <br /> <br />SIGNATURE. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />******************************************.*..******************* <br />