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<br />:Soott LJ Sl.tD <0 d <br /> <br />~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRRILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 . <br />DATE RECEIVED ..:;)'- t - 06 <br />PLANS REVIEW FEE <br /> <br />f(re.'i~ ~OUhfip <br /> <br />JOB SITE ADDRESS .:S?f715 \ edrror'Y\ Ave. <br /> <br />LEGAL DESCRIPTION: LOT (S) '7 ~ <br /> <br /> <br />PARCEL ID # 3S~~~~n;l\-QJSJ-ancxJ-07~ <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT 8J .~- 7'X~-9 75 '7 <br /> <br />SUBDIVISION :A \~hQ Vi ~e Esls. <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION .J81u.TERATION DREPAIR D INSTALL <br /> D SIGN DMOVE D DEMOLISH <br />PROPOSED USE :~GL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS DMOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL DOTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~e ~\QCe 7l.t.)\ (\c!OL.0S S \ 7.e \!or 3i 2.F <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 />'r;i BUILDING <br />) <br />D ELECTRICAL <br /> <br />$ L.JIQ5(J.oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />AMP SERVICE D FLORIDA POWER D W.R.E.C. <br /> dJ" 11.f5' <br /> VALUATION OF MECHANCIAL INSTAL ~ <J1&~ rf105 <br />D OTHER / Jf01 ~ tjJ ~ <br />D FRAME D STEEL I ;j';) ~~! <br /> IS PROJECT AREAD YES o NO <br /> <br />D PLUMBING <br /> <br />[J MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SIGNATURE <br /> <br /> <br />COMPANyllt'lme ~pn\- InS{aUed S:tle.s <br />STATE CERT OR REGIST # Q.RC.OSS<;OO <br />CITY PROCESSING # d9/</ ;1 J, ~___ <br /> <br />*************~d~'t-.~**.......***.**...xx II <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />