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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 B~ STRBBT ZBPRYRRILLS, PL 33540 <br />PhoneIB13-7BO-0020 PaxIB13-7BO-0021 <br />DATB RBCBIVED <br />PLANS REVIEW PBB <br /> <br />~-I:3 -0:"3 <br /> <br />OWNER'S NAME -'1/1 e () fJ1 G 1< I ss i c- <br />JOB SITE AD~SS ~ J~ 4-~~ <br />35'13 ._/ ~ ~ dA-. <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE CONTACT /..p(?- - 5;2~ --G;3~~ <br />C II;}! ~L <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ~4 -;lG, -'. '.)..1 -C 0 ( D- 00000 -:l"S-O(OBTAIN <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERATION <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />~THER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />, <br /> <br />DESCRIPTION OF WORK f." A n AI <br />BUILDING SIZE IO)L?-?-- <br /> <br />SQUARE FOOTAGE <br /> <br />'J ,;), 0 <br /> <br />HEIGHT <br /> <br />/01 <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br /> <br />SET ENERGY FORMS. <br /> <br />~ BUILDING <br />o ELECTRICAL <br />~LUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /><$' '3 72? '~VALUATION OF <br /> <br />$ <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o 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 />BUILDBR <br /> <br />COMPANY It fo 7./ IIltlf"YI <br />STATE CERT OR REGIST # cee 1::2-('""0"1;)..4 <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />/- <br />,/ <br /> <br /> <br />PLUMBER <br /> <br /># <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />