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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTNBNT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATB RlICEIVBD <br />PLANS RBVIBW FEE <br /> <br />OWNER f S NAME {;{44NtJ /-io(2t coN 111.. 1-1. f <br />JOB SITE ADDRESS '3700l{ NEw !-fD(2.{ co;J <br /> <br />PHONE CONTACT 7 s:- z - I oc:, '-( <br /> <br />LEGAL DESCRIPTION: LOT(S~ <br /> <br />BLOCK <br /> <br />L.er (eS- <br />SUBDIVISION C/!,4!t1~ I-Iot?! C'qA/ iJ1..f-I.P <br /> <br />PARCEL ID # 5l{--J5'-7-1-00ID-'O/P(1)-oo~s- <br />WORK PROPSED: ~W CONSTRUCTION ~DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />D SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br /> <br />D MOVE <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />D MOBILE HOME <br /> <br />D OTHER <br />{JLc../II1/II/u';v{ <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ R~.f.URANT & HEAL~PAR, TMENT AP~YAL <br />p..-.DP UJ..J?' ~ <br />IZx(f :ni<CC/V f<oo/Vl ..F;r /6 .s:!fc~, J 2-;< 2" CAf?-IJO(Lj <br />I . <br />SQUARE FOOTAGE 0S~ HEIGHT <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 />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />PERMITS REQUESTED <br /> <br />~'ILDING <br /> <br />$ J 'f 2-HS, 1S'"5 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />Ow. R. E . C. 1..v 1/2E. S j-JI::.o <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />W)1flWl'j'I!I%11Imfr.'I~I~!t::ItII''!''I;f1! 'il'jW11;!!IIi: "t';I!I'I)':';; ;. it:',:::': I! r' l' ,;., \ ~ ' ;: I., ('.' ,',.,j 'F'.:..:,.' )~II! ;,q:r: '1Tii:I':;i~!1t1i11,j~f~11~41'1~l.tfj'lmw I ' <br />f.P!I!Wfi~,jh!, l,ii;!'j)!:I,ltil' j, I'!:I'. ;', ':!"Ihl.j!' II I' I, :' f 1'11,1 d , . '.' '!"p',. I),!!I.~ 1ft; "II lHl :,II.jfV!!!l r,. :.Lv.... <br /> <br />SIGNATURE <br /> <br />13-WcR ;J. Oof~ <br /> <br />COMPANY B<1(1 COIJ~r f2.rJC.:ltolv OF Cp;vrf44-c... r=C, <br />STATE CERT OR REGIST # CBCo~'7'7 P z- <br />CITY PROCESSING # zG:, <br /> <br />BUILDER <br /> <br />, <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~A,'~ <br /> <br />COMPANY It- cE F t..-E c- ,fL t c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />1?1 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />..................**...............**.......*************...***** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />..**.......**....**..........****..*..***.***.**.**************.* <br />