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<br />L ~ -<!-1-OJ <br /> <br />-- <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING D.PARTMRNT 5335 8th STREET ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 raxI813-780-0021 ~? <br />OATH RJ!i:CEIVED ( - 2 - 0 ? <br />PLANS REVIEW rE. <br /> <br />OWNER'S NAME Q: I,' \ J <br />JOB SIU ADDRESS 7~,.3 G~II IJJd <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it ~ ;5 ;2/ 0010 <br /> <br />WORK PROPSED, ~EW CONSTRUCTION <br />OSIGN <br /> <br />o )/00 0000 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />n ADDITION <br />o MOVE: <br /> <br />nALTERATION <br /> <br />n REPAIR <br /> <br />n INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />Dt10BILE nOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALT~ DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK :z;.s/.//o f ct.'"' .,4"s...J /-koc/ )0/1"'+'>5 /. '-7 SY"~"" <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 />o BUILDING <br /> <br />$4rJ() . 0 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />t3~ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />q~l ~t() 2- <br />Q55"! t{01 <br />Cfj~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA DYES 0 NO <br /> <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />........................_...***.**......,**...***.....*...***#*.~~ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.........._*...........................................*....****** <br /> <br />PLUHBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*.*......_*......*.***.**.*.***..*.....~~.****..*..******...****** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.*..***.*...............*.*...........~.*..**...**.*.**.*.,.*.*.* <br /> <br />OTHU F."-;!zril COMPANY s...,t:o<. ~ h'" <br />SIGNATURE ~ 'd~~ ~~*~E P~~~~S~~N~E~ ST It O)~ 306f!X)O J.) '11 P- <br />. ~ ;?~ <br />*****.*............**....****.*.*...**.**.*....~. .~.. ...... <br /> <br />Z - d <br /> <br />v~SZ.ON <br /> <br />SllIH~AHd3Z jO All) <br /> <br />~dZS:1 ZOOZ -9l'daS <br />