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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED ~- :t9-03 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Lloyd Kony ha... <br />JOB ADDRESS 374:00 Der~lre .Dr. <br /> <br />'P1\-6W ~RMI' <br />PHONE t -<gCofo- ~ ~ t.l-7~q c.f <br /> <br />SUBDIVISION ~ed~ewQ'~ <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # IO-.2(P- ..21-0/;tO -00000 - I D30 <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />~ ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: D(SGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Glass Roo(Y"\ <br />to)( l~ <br /> <br />SQUARE FOOTAGE <br /> <br />UoO <br /> <br />HEIGHT 6ee.. pla",~ <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />PERMITS REQUESTED <br /> <br />gBUILDING <br />~LECTRICAL <br /> <br />$ <3370.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALL,Z\TION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 /> <br />COMPANY k'.J": ~ AtlA.m;nlA_r'n <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />)o~ <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />SIGNATURE ~.h\\~~ -11 <br />. <br /> <br />'k****************************************** n .-.~ <br /> <br /> <br />COMPANY_~ee(.L /;\t'~I.~l rretl <br />STATE CERT OR REGIST # liCe \1CD\~~ 'l <br />CITY PROCESSING # 1"'11..1 c; <br /> <br />*******************************************************~~********** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************~**************************k*********** <br /> <br />MECHANICAL <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 />