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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 7~ <br />~~S R~:~:'FiB ~~ 7"" aC/ <br /> <br />OWNER'S NAME O\~ j~v ~ Oi~vl ~ <br />JOB SITE ADDRESS tJ ~ ~ ~ <br /> <br />PHONE. CO~llJ;~ <br />,--- " ' <br /> <br />" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 'J..- J-Co-"J.( - c)CC'C -t!JI'P bt:c ~ oelo <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />0(;OMMERCIAL <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK "'~w I~I.\' k;J;.^r FOr C)tL + 41e... C~Jcv <br />i / <br />BUILDING SIZE 75 '(C bO SQUARE FOOTAGE 4(s-00 <br /> <br />t <br />HEIGHT ~)S <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br /> <br />ENERGY FORMS. <br /> <br />~NG <br /> <br />~ECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ "2 'l C' ,CV!'O , ~~ <br />1JtJv <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~i1MBING <br /> <br />",......, <br /> <br />~CHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION . d!). II d . <br />o OTHER C~ 7r~3 <br /> <br />$ '7,4X',CO <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS q 2. ~ 5 <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY B~ b IZ'l. bit HI {'DlAST~t,{c1,'~v\ <br />rJ J/j '" STATE CERT OR REGIST # eGo c. 61 '"-'if ~v. ..- <br />ct-o:, &..~ CITY PROCESSING # ~ ~ ~' Ok,/" <br />{ , <br />*************************************************************** * <br /> <br />BUILDBR <br /> <br />BLBCTRICIAN <br /> <br /> <br />COMPANY kA..iGr E/e~(L &U1./,/1/"'1 <br />STATE CERT OR REGIST # e( Odor h '-~/( <br />CITY PROCESSING # . <br /> <br />* ******************************'ir'-*..~:~.)***.*****/~JO:;** ...'.. ... ,/ <br /> <br /> <br />PLUMBBR ,--) , COMPANY ( ~~ v~ ; z/-;;:~/Jt ~ ( :; IK'..~ <br />/ .---L../ . STATE CER.f OR REGIST # .C r(~ iLl 2j"-c; C G <br />SIGNATURE .~?"i~- 'C/ #.r~ . CITY PROCESSING # /J1-1lP.A1 kJ4-1- $.r e.E~7 tJ~1) <br /> <br />****************************************************************** . ,~ <br />MECHANICAL COMPANY)J.ve,. E"X~~ .:J;..., _._ <br />STATE CERT OR REGIST # L:Ae-o I 1> '11 0 <br />SIGNATURE CITY PROCESSING # '082... <br /> <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />