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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVED <br />PLANS REVIEW PBB <br /> <br />0-50~ <br /> <br />OWNER'S NAME ptzo Nil g;2-. <br /> <br />JOB SITE ADDRESS 1707 - 773 J <br /> <br /> <br />PHONE CONTACT <br /> <br />101 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />)(r INSTALL <br /> <br />~IGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />[JMOBILE HOME <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />DESCRIPTION OF <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK -' NS'TA-U- <br />10 ')c. , 1 _~ If <br /> <br />POLB <;16rJ FOrz <br />SQUARE FOOTAGE ~ 7 5 <br /> <br />~ <br />...., a :... / " <br />HEIGHT L I (.D <br /> <br />$16N ~TD'fHN~ SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br /> <br />PERMITS REQUESTED <br />24 CoO .. 00 VALUATION OF TOTAL CONSTRUCTION ~ r & tJ <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~ /:2 <br />'\ rI= <br /> <br />\. <br /> <br />COMP~Y <br />~9TATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDBR <br /> <br />\/'" <br />********************************************************** ******* <br /> <br />SIGNATUR <br /> <br /> <br />COMPANY MATLTI N G'~L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTRICIAN <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OJ <br />