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<br />.. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTKBNT 5335 8~ STREBT ZBPHYRBILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATB RBCBIVKD <br />PLANS RBVIBW FBB <br /> <br />:;-1/7;:' 3 <br /> <br />OWNER I S NAME &:tziA/'v/J /-!-oil ( Z ()rJ /Yl-l-l.? <br />JOB SITE ADDRESS '3'7(015" Lof!-r::NA fi.1/F. <br /> <br />PHONE CONTACT '1~ z - I CJG Lf <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BL0CK <br /> <br />Lbr iJtp <br />. <br /> <br />SUBDIVISION ~ -.4Nt7 Mer ZlVV fr1 H P, <br /> <br />PARCEL ID # jL{ -2,5" -2-( _ co 10 - 028ro -0 II C:, (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />, <br /> <br />WORK PROPS ED: ~W CONSTRUCTION ~ITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />OS IGN <br />PROPOSED USE: ~FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAM!LY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />r.:;v'" ,4Lv/h I NV /J"\- <br />i::J OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D R~T & HEALTH DEP~NT APPROVAL ~ <br />/Z,x It{ ?;~zrfiV ?OUYI/ ~X~EI// 12;< ~~f2fDt2r <br /> <br />SQUARB FOOTAGB <br /> <br />5LfL( <br /> <br />: . <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <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 />PROPBRTY SURVEY RBQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />dz,~1)1 <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />[J(E'LECTRICAL <br /> <br />$ /I f'{ 0, '-1-'7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. ?JIIlE SI/!3JJ <br /> <br />o PLUMBING <br /> <br />o MECHAN I CAL <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 AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~jJ.~ <br /> <br />COMPANY {O/v5 rll.uc 1/1)1../ or:- C?Nrt2/k {::L , <br />STATE CBRT OR REGIST # C{!;Co 5'7'! ~ Z- <br />CITY PROCESSING # 2..~ <br /> <br />BUILDBR <br /> <br />, <br />...........*.*...***~...*......*....**.***.*.*..*................. <br /> <br />SIGNATURE <br /> <br />~j}, ~ <br /> <br />COMPANY ACi~ rf.,[:::-c rei C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /0' 7 <br /> <br />ELECTRICIAN <br /> <br />.................................................................. <br /> <br />PLUKBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />........*...........*................*............................ <br /> <br />MECHAN! 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 />