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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />aUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, rL 33840 <br />PhoneI813-780-~020 FaxI813-780-0021 , <br />DATil RBCJ!lIVJIID <br />PLANS RIllVIBlW rIB <br /> <br />-~- <br /> <br />OWNER I 8 NM1EJ/Ced ---'k.lJ/C-r} t:.Dn/J/ (- <br />JOB SITE ADDRESS j~"~/9'..7~ f;:)f <br /> <br />PHONE CONTACT 8/ ~ r :7~,!;1- ..:J03<;J <br /> <br />LEGAL DESCRIPTION: LOT(S) 1-:3 I~I <br /> <br />Bl.OCK '-I 'l <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #.IL- ;)G,- :;LdCJ/~<-/'}OC?OO/O <br />WORK PROPSED I DNEW CONSTRUCTION [D..A11DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTAlJI. <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: Ol-a-GL FAMILY DWELIJING <br /> <br />Ot1ULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB H,E HOME <br />[J OTHER <br /> <br />o COtlJMERC IAIJ <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEAlmI DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~~~ J1 <br /> <br />rct'\ m <br /> <br />'V". "'" <br />~,-z c ~ Jol ~A~ <br /> <br />SQUARE FOO'fAGE :J9:) <br /> <br />6)v~ <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RES IDENTIAIJ I ATTACH (2) PLOT PljANS & (2) SETS OF BtJIIJDING PLANS & (1) SEl'f ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />IB" ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONS'fRUCTION <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C, <br /> <br />o PLUMB ING <br /> <br />o IIJECHAN I CAL <br /> <br />VALUATION OF <br /> <br />MECIIANeIAL INSTALLATION 6~/ dP'l~ <br /> <br />o OTIIE(1~1) 4~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$lLrl2 ~r <br />o SPECIALTY <br /> <br />o&> <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME! <br /> <br />o STEEL. <br /> <br />FINISHED FLOOR EUIVATIONS <br /> <br />IS PRO,TECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDIR <br /> <br />SIGNATURE -KC'\.I .'n ;;1 <br /> <br />h?l" t.,),/e'''/ <br />r <br /> <br />COtIJPANY&'y Ctrc6 <br />STATE CEJRT OR REGIST <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BlLBCTRICIAN <br /> <br />S JGNATURE .IJLc.-L'tL__kY~ 1/ <br /> <br />COMPANY ~/'jh C)C(:-7/ ,t <br />STATE CERT OR REGIST # -~J-.1l"(}/.:2(K <br />CITY PROCESSING # / <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY--_ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATtJRE <br /> <br />MECHANICAl. <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIS'f # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************~************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />