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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:813-780-0021 -z- /} / -Od <br />DATB RBCBIVED _ ~0 +- <br />PLANS RBVIBW PBB <br /> <br />OWNER'S NAME <br /> <br />Tocq. Jo~~ C;:~tJ 'IAn <br /> <br />v <br /> <br />PHONE CONTACT 7/2 Yf-> <br /> <br />JOB SITE ADDRESS 56:!? S~.P/2~ <br />LEGAL DESCRIPTION: LOT(S) ~ <br /> <br />BLOCK D <br /> <br />SUBDIVISION <br /> <br />ot:::J{('.6' <br /> <br />PARCEL ID # j 2 -:16 - ;J../-ttJOoA ~ OOl)o() <br />.- <br /> <br />WORK PROPSED: DNEW CONSTRUCTION g ADDITION <br />Ibot~6 <br />o MOVE <br /> <br />0/1"0 <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 DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o SWIMMING PQOL , / ,tg.' OTHER <br />L?H'C?tt:> /~ <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />.-P~ <br /> <br />~d~ ,;I'odL- U*~ 'J9'~ <br /> <br />@j <br /> <br />BUILDING SIZE <br /> <br />:1-' Y j( <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT .p '" <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 />/05, 00 I~)(~, <br /> <br />o BUILDING <br /> <br />.b <br />$ '7~ <br /> <br />PERMITS REQUESTED ~rAJI." <br />, I ..",r>;vQ~ <br />VALUATION OF TOTAL CONSTRUCTION AlIV);,\ }M <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o W.R.E,C. "" <br /> <br /> <br />IT~Ns~~I)'/ <br /> <br /> <br /> <br />o OTHER <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN <br /> <br />AREAD YES 0 NO <br /> <br />BUILD~R COMPANy~/.d7 '#1t.1~ <br />STATE CERT OR REGIST # ~X~V2Y/ <br />SIGNAT E __--'- CITY PROCESSING # / 6 $o'er <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />