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<br />OWNER'S NAME C ..I~~ \ c;.c~('r~~ <br />llOB SITE ADDRESS 3 go, 0 S. , f2 ~ ~yJ"U.. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINQ DEPARTMENT 5335 otb STRRRT ZRPRYRHZLLS. FL 33540 <br />Phone.813-780-0020 FaxI81J-780-0021. <br />DATR RRCRIVJJD <br />PLANS RRVIB" rBR . <br /> <br />PHONE CONTACT '7 ~ - qCHiQ__ <br /> <br />LEGAL D~SCRIPTIONI LOT(S) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />PARCBL ID, \ , ~ d-l. - d-) - 00 , () - () (g :3 Q? _ 0 () '7 D !oBTAIN FROM PROPBRTY TAX N01'ICRI <br /> <br />BLOCK <br /> <br />SUBIHVISION <br /> <br />(J ADDITION <br /> <br />(JALTERATION <br /> <br />o REPAIR <br />~'-e-r'\O~ <br />UNITS <br /> <br />o INSTAI.t, <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />(] DEMOLISH <br /> <br />PROPOSED USE:oSGL FAMILY DWELLING <br /> <br />oMULTI - FAM'rL Y <br /> <br />0# OF <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />(] INDUSTRIAL <br /> <br />OSWIMMING P()OL <br /> <br />PESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAl, <br /> <br />C1 cS h ~-! 'lZ~ -'\ O~ <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZB <br /> <br />~ , V-:) <br />~ <br /> <br />RBSIDENTIAL: <br />COMMERCIAL: <br /> <br />AT'rACH (2 ) P1oO'1' PLANB . (2) BRTB OF BUILUINg PIJIN" . ( I) 8BT BNBRgr FORM8. <br />ATTACH (3) SETS OF BUll/DING PLANs & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />D Bun.DING <br /> <br />o <br />$ .3.:tYI.O <br /> <br />PERMITS REaU!STBD <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF To'rAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D N.R.E.c. <br /> <br />D Pl,UMBING <br /> <br />o MECHANICAl, <br /> <br />$ <br /> <br />D GAS <br /> <br />(J ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLqCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FI.C;>OR ELBVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDRR <br /> <br />A COMPANY (Oo.f-l' <br />~ .f. STA1'B CERT OR REGIST # C- ~O <br />l1 CITY PROCESSING # ~ <br /> <br />...:~..::.~~.~......................................~.';.~. <br /> <br />SIGNATURE <br /> <br />BLBCTRICIAH <br /> <br />PLUllBJlR <br /> <br />....,............*......*..*..*,..***.******.***..**..*****.****.. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA1'URE <br /> <br />IOICHAHICAL <br /> <br />.*.*.*..*.**********.********************************************* <br /> <br />COMPANY <br />STATE CERT OR.REGIST # <br />CITY PROCESSING # <br /> <br />. -, <br />" " <br /> <br />SIGNATURE <br /> <br />OTHBR <br /> <br />***.**.....**********..*..**,**.***..**************.************* <br /> <br />COMPANY <br />STATB CERT OR REG 1ST # <br />CITY PROCESSING ## <br /> <br />SIGNATURE <br /> <br />SIGNA'l'URE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******.******.*.**.**..*************.*****.***********.********* <br />