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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTNXNT 5335 8~ STRBBT ZBPHYRBILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATB RBCBIVlID <br />PLANS RBVIBW FBB <br /> <br />1:2/03 <br /> <br />OWNER I S NAME ~f44N!} /J.o(l:{ 'Ut/V <br />JOB SITE ADDRESS 3"7 tJJ :3 '3> <br /> <br />LEGAL DESCRIPTION: LOT(S~ <br /> <br />BLOCK <br /> <br />PHONE CONTACT '7r z - /06 '{ <br />,LOT I /cr <br />SUBDIVISION ~O !-iDi? I u;V /11/-1 j/ <br /> <br />/Yl-l-J - P <br />Lo/ZE/J 1+ tJ VE <br />I <br /> <br />PARCEL ID # ]Lf-2t::;-Z-I- (!)%-o2-tf"oo -0117 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />, <br /> <br />WORK PROPS ED: ['iJ-Nlfw CONSTRUCTION !3'1DDITION o ALTERATION 0 REPAIR E::)INSTALL <br /> <br />OS ION <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMtLY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />~4u,/I1. , IV'/ /YL <br />L::J OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RE~T & HEALTH DEPARTMENT APPROVAL <br />~ ~ ~) <br />II X (V S;t..tZL:riv foo/YI- / <f'x /0 S;'/;: // I ) ')C 2-T CAlL Pofl-r- <br />I 11 oi7 <br />SQUARE: FOOTAGE "7 1! <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RBSIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SBTS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPBRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />$ 1'1/42-, (~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. C .wl I2E 51--1130 <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY . 0 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 MEAO YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br />SIGNATURE _~ j), ~ <br /> <br />COMPANY r3 ,)-ICO{\/~//l./'-r(C(v' of ciNrML Fe \ <br />STATE CBRT OR REGIST #~~co 5"77 R-L <br />CITY PROCESSING # ~ <br /> <br />, <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ J11 (1)IA <br /> <br />. <br /> <br />COMPANY 4-r f ?L-/:: c. 77"_ { c <br />STATE CBRT OR REGIST # <br />CITY PROCESSING # <br /> <br />Ir7 <br /> <br />ELBCTRICIAN <br /> <br />.*.**.*....***...***..**...***.****..***************************** <br /> <br />PLUMBgR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****.**************.****..*.***.**.****************..****..***.*** <br /> <br />KSCRANI CAL <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 />