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<br />CITY OF ZBPHYRHILLS PERMIT APPLICATION <br />BUILDINQ DEPARTMBNT 5335 8th STRJ!lBT ZEPHYRBILLS, FL 33540 <br />PhoneI813-780-0020 raxIB13-7BO-0021 r7 / <br />DATE RECBIVJ!lD ~1 <br />PLANS RZVIBK VRR . <br /> <br />OWNER'S NAME -J:twld l.Lbtlw <br /> <br />.lOB SITE ADDRESS ~309 iP~ 5Jfr-..ee~ <br /> <br />PHONE CONTACT 779-- 7SJi <br /> <br />LEGAL DESCRIPTION, LOT(S) <br /> <br />BLOCK <br /> <br />SUBIHVISION <br /> <br />PARCEL ID If 11- J,& -;;n -. ODID 1 ',-gOD ~ DOt D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED; []NEW CONSTRUCTION <br /> <br />[]ADDITIO~ <br /> <br />o ALTER1\T ION <br /> <br />D REPAIR <br /> <br />D INSTALl, <br /> <br />DSIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />, <br />PROPOSED USE: DSaL FAMILY DWELLING <br /> <br />DMUW'I-FAMILY <br /> <br />[]# OF UNITS <br /> <br />o MOBILE nOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOl, <br /> <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAI~ <br />I (Q r;:J oS J,~ M. -^--')o l <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUIl,DlNG PLANS & ( 1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PBRMITS REQUiSTED <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />'3, <.9 5~ . <br /> <br />.,0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAIJ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALI,ATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLQCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY.Jaul S~(J~~C)().j.J.71/ <br />STATE CERT OR REGrST If r ('('::;DOt;;, i? I~'f <br />CITY PROCESSING # ~g.J--- <br /> <br />.................................................... <br /> <br />I!ILBCTRICIAN <br /> <br />",,. <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING If <br /> <br />SIGNATURE <br /> <br />.................................................................. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />". ". SIGNATURE <br /> <br />.............................**................................... <br /> <br />MBCHANICAL <br /> <br />COMPANY <br />STATE CERT OR REG 1ST If <br />CITY PROCESSING # <br /> <br />SIGNATURe <br /> <br />................................................................. <br /> <br />OTS.. <br /> <br />COMPANY <br />STATE CERT OR REGIST If <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />..............................................*.................. <br />