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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTKBNT 5335 8~ STRBBT ZBPHYRBILLS, FL 33540 <br />Phon.f813-780-0020 J'axf813-780-0021 /}__{. U-o? <br />DATB RBCBIVBD r:K l' ~) <br />PLANS RBVIBW FBB <br /> <br />OWNER I S NAME 012l+lJ/J /-kfU ? b;V f//l. -f--( . f. <br />JOB SITE ADDRESS 3'70'3/ NFutOV>A /JV(::, L-.()i 15 2- <br /> <br />PHONE CONTACT 170 Z - I 06 <{ <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BL0CK <br /> <br />SUBDIVISION C{2fJIt,/C /-I-o~/C:dV II1.H. f'- <br /> <br />PARCEL ID # 3lf-2-S"-".2( -OO"I,O_O'2ff"OO- {){5 z (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPS ED: (i}N"EW CONSTRUCTION ~DITION o ALTERATION 0 REPAIR []-'iNSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o MULTI - FAMtL Y <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />rY 11 L...vM I/lN ,.+t <br />l.lO OTHER <br /> <br />o COMMERC IAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />:.. <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RBSIDENTIAL: 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 />[SO'13UILDING <br />0ELECTRICAL <br /> <br />$ <br /> <br />! I Z8io,f)~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E. C. I/vl /2-f~ ;; /-1-6"4/ <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~ /1. ~~j <br /> <br />~OMPANY~i". f-l (ot\l$ r /W'-r {f)/'-' Dr-- (1:/~TPfL r:= l <br />STATE CERTOR REGIST # rT?c 0 '57'7rL <br />CITY PROCESSING # ~ <br /> <br />BUILDBR <br /> <br />, <br />.................................................................. <br /> <br />SIGNATURE <br /> <br />~ IJ, i1.J;P.rf) <br /> <br />COMPANY ikE ~LEc. TaL c. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I~~ <br /> <br />ELECTRICIAN <br /> <br />,') <br /> <br />.................................................................. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.................................................................. <br /> <br />KECHANI CAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />...**.......**.**.**...*******...**.****.***.***.*****........*** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />...........*****.******.**.**********.****..**.....**.*.**.*.**.* <br />