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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBET ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 ~;( ~ <br />DATB RBCBIVED ? - '1 ~tJ <br />PLANS RBVIEW PB <br /> <br />OWNER'S NAME fA~C.HO:S VJl.,L-A Z&fJrly,i!r{ILt.5 <br />JOB SITE ADDRESS ...5-7L!o '7 '0 S,j2.Ec T <br /> <br />PHONE CONTACT <br /> <br />7 <1d-. - 7/17 <br />'})At'\ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~TERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PARCEL ID # <br /> <br />!I,-.;l ~-bl J ~601 0";' 0.:2 0a.-') - D /36 <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />PRoPAJ"JF <br /> <br />IAN~ <br /> <br />IN 5 TALLAllDA J <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />, <br /> <br />o W.R.EI'>-' 5~ ) <br />I~~~ / <br /> <br />INSTALLATION~---~ <br /> <br />o PLUMBING <br /> <br />IfIMECHANICAL <br /> <br />$ <br /> <br />3 DO d cJ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />po. GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />***************************************************~************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />Ld-r1- ~ <br /> <br />****************************************************************** <br />COMPANY S J 11 u,Q...BAN PJe-6PAJJE <br />STATE CERT OR REGIST # blIP 7~- <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />