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<br />OWNER'S <br /> <br />NAME j~f ft(J~Ci <br /> <br />ADDRESS S 7"2. ( (Cf 1]. ~. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~h STREBT ZBPHYRHILLS, PL 33540 <br />Phoner813-780-0020 Paxr813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW PEE <br /> <br />:3/t,~ <: <br /> <br />PHONE CONTACT 81"3-780 -fz?,~ <br /> <br />JOB SITE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />1 { <br /> <br />BLOCK '2.6 <br /> <br />SUBDIVISION <br /> <br />07,~ <br /> <br />PARCEL 10 # <br /> <br /> <br />- 0 () <to (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />ri REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />DMOBILE HOME <br />D OTHER <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK l"^,~~, ~ ~ ~~M.~:-\- ~, \,J\v\~OuJS <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. , <br /> <br />90, v) f;U)~. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ -5;J~L.\ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o N.R.E.C. <br /> <br />D PLUMBING <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />. , <br /> <br />INSTALLATION WeJYl\ ~ <br />t-j 0 7- l.f b 7- S-S-ct 1 <br />~r bLf'T- o~t.f3 <br /> <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY~ ~ ~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />**************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />