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<br />~- CITY OF ZEPHYRHILLS PERMIT .APPLICATION <br />~ t..~-V"l BUILDING DBPARTMENT 5335 8th STREET ZBPHYRBILLS, FL 33540 <br />V- ~~.':,'~ Phone:813-780-0020 Fax:813-780-0021 <br />) DATE RECEIVBD <br />PLANS REVIEW FEE.. <br />.-------- <br />OWNER'S NAME~V ~yc.\NC Lu~\.,v')TVc.. PHONE CO~T ~,~ iJ'3 <br /> <br />JOB SITE ADDRESS -r...,r~v v~.....cl ,Il C.~-J ~~I'L~ - 39'11 ~~ ~. <br /> <br />~ -Itt- tl ~ <br /> <br />I~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />2.1.{ - "LV>- l./ -11 no') - t)C) I 00- 0 I "Z..O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />D# OF UNITS <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />!if COMMERCIAL <br /> <br />~ INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE 2S~ J(!)() <br /> <br />SQUARE FOOTAGE 1.(,~1.:> <br /> <br />, <br />HEIGHT 2.0 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />. /CoMMERCI~ ATTACH (3) SETS OF BUILDING PLANS & ( 1) SET ENERGY FORMS. <br />~- ~~ PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />7~O <br /> <br />VALUATION OF <br /> <br /> <br />D OTHER <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />S"8c.f,,:)OO VALUATION OF <br />~ec AMP SERVICE 0 <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: iii BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS 86.')--0 <br /> <br />~ STEEL <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~ NO <br /> <br /> <br />BUILDER <br /> <br />ryf3-I(,ii <br />rj~a.. A '-tr- c"7 <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY , t;.t.Ntll4 "Ml~~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~:- <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE &Uj/ /2/~a <br /> <br /> <br />* * * * ** ** * * * * * * * * * * * ** * * * * * * * * * * * * ** * * * * * * ** * * * *** *:;*,'. ** ** * * * * * * * * * * <br /> <br />COMPANY ~~~ E~~/' <br />STATE CERT 0 REGIST # <br />CITY PROCESSING # 2-to~ <br /> <br />PLUMBER r <br />SIGNATURE ~~ j . <br /> <br />----... <br />~~( <br /> <br />COMPANY -D F/J )J ~' ~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />l, L~ ~ (, l'l}w' .:) <br /># _ RF DD[)7'iS- <br />J920 <br /> <br />*********************************************************t******** <br />~- . COMPANY .<f ~ HIte ~ /oL r3""1"'" ( 6. 11< J ~ 1/C <br />/ /' ~ STATE CERT OR REGIST # . <- ;\ L (> y] 7 y cf <br />.... CITY PROCESSING # / 7 <br /> <br />L***************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />******************************************* <br />