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<br />(!:tJluf 3 ~)1..p3 <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540 ~ <br />PhoneI813-780-0020 Fax:813-780-0021 3' 3 ' <br />DATB RECBIVED ,-/ r~ ttJ <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME <br /> <br />;4-vv.0fUJ5 <br />DJ () I'l- ~.'+ '2. () 12... <br /> <br />PHONE CONTACT ~ (3 .- 7 Ie; -, 72 5- <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />khteA ~Ld Alfl7-r'" <br /> <br />PARCEL ID # '2-'/- 2~. - 2/..-. t)/)'(o-C)otXJo -Is<?e> (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUCTION .J(l ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br /> <br />DMOVE <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 />D COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~LJ~ <br />BUILDING SIZEt,'d (,)(2.'- <br /> <br />In~ <br /> <br />~F <br /> <br />/Zoa F <br /> <br />let r- <br /> <br />SQUARE FOOTAGE <br /> <br />(S-~ <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 />~UILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />2o'-{s <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />VALUATION OF MECHANCIAL <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />INSTALLATION 3 <br />/() <br />(71)r'1'7 <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <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 />COMPANY # h-z:... ALvm'~VIfH ~d~:kr4 <br />STATE CERT OR REGIST # q ~ .s-~ 97t!:J <br />CITY PROCESSING # <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />