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<br />CITY OF ZEPaYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTNxNT 5335 8~ STRBBT ZBPHYRHXLLS, FL 33540 <br />Phon.,B13-7BO-0020 FaxIB13-7BO-0021 <br />DATB RBCBIVlID c2 -I Cf- V 1 <br />PLANS RBVIBW FBB <br /> <br />OWNER'S NAME &/ZII-IVt? /-kIZ ('Zo,A/ fILl! p. <br />JOB SITE ADDRESS )7 ~3o NEvlcotVl /lve. <br /> <br />PHONE CONTACT 7J>z - J 06 Y <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BL0CK <br /> <br />to I 70 <br />SUBDIVISION ~ /Jo/ll CtJA" /1'11)1', <br /> <br />PARCEL ID # 3 <-f - 25- '2 (- . OO{ 0 - 02cr 00- oozro (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o COMMERCIAL <br /> <br />(j;f'ro)DITION o ALTERAT ION o REPAIR ~NSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAM!LY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o fJ l.-I/ In 1/11 t./;n. <br /> OTHER <br /> <br />Os I GN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />$ I z..r7 I:{ C. /-0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C.&vl~ ~/~P <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 . 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE MEAO YES <br /> <br />o NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />~~ !~, ~J <br /> <br />~OMPANY-'3t{+ c O/IJ'7T1luc..7 I a/v cr: C.2"vJrv.Je Fe, <br />STATE CERT OR REGIST # Ci3(o 57'1crz. <br />CITY PROCESSING # ~G, <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />. <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />fL A,'~ <br /> <br />COMPANY /Jq~ FL--Ec Tilt c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I~?' <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANI CAL <br /> <br />................**................**.....****..**.......*.******* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />.................**.***.******..*****.***...***.****..*********** <br />