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<br />OWNER'S NAME -kl,' .. b J<l ~I\ ~r At~'''1' 1".., ~ . <br />JOB SITE ADDRESS te? I::; 3 OaJ (ff5,l ~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DJ!:PARTHBNT 5335 8th STRBBT ZBPIfYRHILLS, PL 33540 <br />Phono'8IJ-780_0020 P"",813-780-0021 -lilt 'i <br />DATB RBCBIVBD ;;> ~ tJ _ <br />PLANS RBVIBW PBB / <br /> <br />PHONE CONTACT 813. 7)4/. LJ rs J 5" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: O1NEW CONSTRUCTION <br /> <br /> <br />o ~()OO <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />oSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK s,'<t~lt ~otll')~ hOtM.-t... <br />.-7'.U")( LJ~I,,14 <br />BUILDING SIZE ~~ · _ ~U ~ SQUARE FOOTAGE <br /> <br />Jq 3/ <br /> <br />~I <br />HEIGHT .1! <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />PBRMITS REQUESTBD <br /> <br />$ <br /> <br />7S. ~oo <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />)/ ); <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />W FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />oYFRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />~O <br /> <br /> <br />BUILDBR <br /> <br />;lJ 11 /~ <br /> <br />COMPANY Rel"A~/.. f.ot'\~r4c.h't\1, :r,1l~-. .~" ..... <br />STATE CERT OR REGIST # <: Be. 1;),5 Ig~1( <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />BLBCTRIC <br /> <br /> <br />****************************************************************** <br /> <br />r! <:. ",- <br />COMPANY fio. I.n ciR c.frl u. .lnG <br />STATE CERT OR REGIST #.F:LI ~ DOl ~-<1?~ <br />CITY PROCESSING # <br /> <br />.. ........ ........ .... ";;;;:?i?~:9;;iTi~~J1J J;n(. <br /> <br />CITY PROCESSING ~. j ;', //. c. <br /> <br />'" . '- .. <br />*********************.**~*******************~**~*~ <br /> <br />!J . . . '1 COMPANY:5 t' ...-v- ~. Gt::. <br />. j J STATE CERT OR REGIST # _ R m Cl c) ) f \{ G (~- <br />~ M~~~ CITY PROCESSING # <br /> <br />******************~******************************************** <br /> <br />PLUHBBR <br /> <br />SIGNATURE <br /> <br />DCHAHICAL <br /> <br />SIGNATURE <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />,- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************.**~***************************************~* <br />