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<br />, I <br /> <br />CLTY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STREET ZBPHYRHILLS, PL 33540 <br />Phone.B13-7BO-0020 FaxIB13-7BO-0021 C, .~/9-'7)~.. <br />DATB RBCBIVBD _Q.._ ~ <br />PLANS RBVIBW FBB <br /> <br />/ OWNER'S NAME flett/if, Ctl'fe Pr&h e.... i ty hVe..5lo r S PHONE CONTACT <br />. I 10 n/ <br />JOB SITE ADDRESS (Q '70 t D a L '('7 reef, . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />PARCEL 10 # O:1.-J..~-~)-tJO/O-03906~OOtPD(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />~REPAIR <br /> <br />[] INSTAI~L <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />[]MULTI-FAMI,LY <br />o INDUSTRIAL <br /> <br />.[]# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL <br />f(,eIP}aCB Faf..,L/r-y Fire ,~JB.;Y'm COf/?re>/ <br />, , <br /> <br />Pauel <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 & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. -r: <br />{2ft- g ~~ <br /> <br />PBlUIITS REQUESTBD jt~ -r;; ~ <br /> <br />$ / 9 :3 J VALUATION OF TOTAL CONS'l'~TION <br /> <br />o BUIUHNG <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Fl,ORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALI,ATION <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONS'l'RUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNA'I'URE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />([) l~ <br /> <br />>THBR F/~' e P'fM COMPANyADT 5ectJ."Y"ry ~e'fVlce.5 <br />t?J.1 ~ ~. -11. f}" ~. STATE CERT OR REGI8T # 1: ~ Dt:> (!) /1,;(.:3 <br />SIGNATURE Bt 3 --:3 7 _~ CITY PROCESSING # 3 c> d.. 0 <br /> <br />********~************~~~~************************************* <br /> <br />***************************************************************** <br />