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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, PL 33540 <br />Phone: 813-780-0020 Pax: 813-780-0021 ;1,.- (/_ /) ~ <br />DATE RECEIVED '--7 L ~ <br />PLANS REVIEW PElt' <br /> <br />OWNER' S NAME--.B.ds~e.!l_,j~l.),^CI\\J 1: J. ~V~~ L. <br />JOB SITE ADDRESS S~OC; q~ (t. <br /> <br />PHONE CONTACT ~\,~')glD. 59.,g <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \\ ')..b ')..., 00\0 \0\ 00 0 \00 ~, <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />~Ol O\(O~Tf-I~ FROM PROPERTY TAX NOTICE) <br />~TERATION DREPAIR D INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI - FAMILY <br /> <br />D# OF UNITS <br /> <br />DMOBILE HOME <br />DOTHER <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />5t"~~~,,, lJ~.,,_.J. (\So^) \ tv,;'.e. A.~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />i <br />I <br />I <br />/ <br />D OTHER/ <br />/ <br />FLOO~ ZONE <br />I <br />/ <br /> <br />/ <br />.t1Afl j;'~J{ <br /> <br />o ~.;;;~14 <br />INSTAL~rO~ //(f/ ~() <br />/1/ ".Jl ":4. <br />! 2ft, ~::..___/ <br />( ",/ .:/ <br />~O"YES' D NO <br /> <br />D BUILDING <br />~ELECTRICAL <br />D PLUMBING <br /> <br />$ <br /> <br />I) I~O.bv <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />D MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~~~ <br /> <br />COMPANY ~q..e~ Etu-t=""c..l <br />STATE CERT OR REGIST # l~ l~~3 <br />CITY PROCESSING # l"fl.fot <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 />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />