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<br />OWNER'S NAME stever! llibMrY) <br />JOB ADDRESS 5 ('-/!) Su.rnme1"'h,ll Dr. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~h Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 1, 2/~ O~ <br />DATE RECEIVED (>. ';~/___ <br />PLANS REVIEW FEE . <br /> <br />Pc...SCO PE?V"'vY\; t Sen,/lce/ <br />PHONE 1-<gLo{o-<6?,tf- 78C1L{ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION Ou.VYlVl1erh, I \ <br /> <br />BLOCK <br /> <br />PARCEL ID # t<<-~~-J.\-OlbO-Oc'XCO-O;>dO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE! <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />DSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br /> <br />~. ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />o COMMERC IAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK I n~l'""'o~ <br />BUILDING SIZE 16 I x. 33' K &0' <br /> <br />Pco~eck, ~ sere~J <br />tDlUz <br /> <br />e.-n.closure- <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT .see <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />lK1. BUILDING <br />~ ELECTRICAL <br />~PLUMBING <br />o MECHANICAL <br /> <br />$ 3c/, Da9.0D <br /> <br />VALUATION OF <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE 0 <br /> <br />FLORIDA POWER <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />~~~~~N~~REGIST ~iYftc~~ 1J1-- <br /> <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />(!L~ <br /> <br /> <br />*********************************************** <br /> <br />SIGNATURE <br /> <br />COMPANyJ1A wki"-s 6le&t v <br />STATE CERT OR REGIST # et",OOO'J.' ~ , <br />CITY PROCESSING # <br /> <br />*************************************************************** <br /> <br />PLUMBER COMPANY <br /> STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br />MECHANICAL COMPANY <br /> TATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br /> <br />OTHER -S'creel/'- E:v'\C I O.st."-....e.., <br />SIGNATURE ~~//~~~ <br /> <br />************************************* <br /> <br /> <br />COt1PANY fvL~ (\0~ ~:re~ <br />STATE CERT OR REGIST # J 7 t L(J OS-L <br />CITY PROCESSING # <br /> <br />************-k**************************************************** <br />