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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ~? ~I.t -DJ <br /> <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phon.:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FBB <br /> <br />c2-/4-o~ <br /> <br />OWNER'S NAME <br /> <br />-Jo.~\ J\VA~ <br />lo~\S G- ~q <br /> <br />PHONE CONTACT -r82 -1 '50 e <br />~\vd -~\u~Q~ll~ <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Co '{Y\ (Y\ -P-V--C I 0 / S VU . v'r\ VY\.; n VI""? OD \ l{ ~ (- L-s:l--c .L\ ~ <br />\ I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. n <br />REQUIRED FOR ALL NEW CONSTRUCTION. . ex...q Q,vCL'~ vJ' <br />S4~ ~U~. <br />~ri' <br /> <br />PERMITS REQUESTED <br /> <br />[g-'BUILDING <br /> <br />$ 3'1. 3 ~~ _60 <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 0 NO <br /> <br /> <br />BUILDER <br /> <br />2 OO~~~ <br />i \ -;()., STATE CERT OR REGIST <br />SIGNATURE L/<- ~J,.p u-';I. ~ CITY PROCESSING # <br /> <br />~ ****************************************************************** <br /> <br />BLBCTRICIAN <br />SIGNATURE ~~~~.P_ <br /> <br />COMPANY V ~'Ce~ F/-eC't-Cll:~ l ':rV\.(, <br />STATE CERT OR REGIST # &:CI300\~~3 <br />CITY PROCESSING # V" 3 \ \ 0 <br /> <br />****************************************************************** <br /> <br />PLUMBBR ~ /1. COMPANY Kj'cl.OlV^~~d~'?i~ Ld <br />j /J _ 1/1' j ,. IJ ,/ r-".;J STATE CERT OR REGIST # lZl= - DO ~R l Sl <br />SIGNATURE. :r ..fl ,I/- U~LiiL' CITY PROCESSING # d.'1lt5 <br /> <br />***************~:************************************************ <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />:::::::~c~~ c~~~~ r:~Y~\L <br /> <br /> <br /> <br />. ***************************************************************** <br /> <br />LLC. <br />