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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPBYRBILLS, PL 33540 <br />Phon. I 813 -780-0020 Pax: 813 -780-0021 "1_/l1-()3 <br />DATE RECEIVBD c>< -, <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME <br /> <br />6-~~ L~{'.e'1 <br />JOB SITE ADDRESS '3" 3 8 Am-e.+~Lt.s +- <br /> <br />PHONE CONTACT 7? 3 -- '3 :5 I " <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />W I4rt ( <br />SUBDIVISION <br /> <br />PARCEL ID # - J <br />L" - 2 ~ - <., .-' COS'(') " a 06<lD - 2./30 <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DREPAIR <br /> <br />D INSTALL <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 />D MOBILE HOME <br />D OTHER <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RES\,AURANT & HEALTH DEPARTMENT APPROVAL <br />(7 '/2 ;' x (2/) <br />5c12. -c. en It...t:tv ivI. IA../I! US 6rI.. ~C7V r ~ p <br /> <br />V11 a f'l::)~,;i! r <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <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 />PERMITS REQUESTED <br /> <br />~BUILDING $ ;I/~l> <br /> <br />~ <br />~ <br />~AL $ <br />~ 0 ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />~< <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />