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<br />CITY OF ZEPHYRHILLS PERMIT A~J?;LICATION Jq.O~ t'} l.QO <br />BUILDING DEPARTMENT 5335 8th Street, Zephyt'hills, FL 33542 , <br />" \..5;>0" <br />813-780-0020 FAX: 813-780-002;1 , '& ~ /!-/d..N.,- <br />DATE RECEIVi:,Q" ,,. 1 ~ <br />P~:?.,RE,VIEW...~.~ <br /> <br />OWNER' S NA~1E 0 II i e <br />JOB ADDRESS 3~3 60 <br /> <br />LEGAL DESCRIPTION: LO'1'(S) <br /> <br />W~\ \~ <br />5"tb A~ <br />2\ <br /> <br />PHONE <br /> <br />'2~~~(2.HI Ll ~ <br /> <br />I f( - <br /> <br />~ /3- liS - 0 1 S4,.. <br />33~ LJJ... <br /> <br />SUBDIVISION~r Bfl@ht~ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL 10 # la-b)lln~I-Db4n -DOIDO -O~\O <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />[Y(INSTALL <br /> <br />OSIGt\J <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIM~lING POOL <br /> <br />o t10BILE HOME <br /> <br />o <br />OTHER <br /> <br />D RESTAURANT & HEALTH DEPARn1E~1T APPROVAL <br />DeSCRIPTION OF WORK ~ :3y.1J"'dI.:Jw5 S1u fD[ Sl'lD. <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 PLl\NS & (1) SET ENERGY FOR~1S. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />rsi BUILDING <br /> <br />$ <br /> <br />1~2.5 <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br />toD'~ <br /> <br />o ELF.CTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.R,E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />91 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />. {1/,-LvVj519 <br />o OTHER CJ>>r;o1 ~/ 11/}- <br /> <br />IS PROJECT IN FLOOD ZON1AREAO YES 0 NO <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />c <br /> <br /> <br />vtJ</L <br /> <br />COMPANY The ~ J:>.efX*; ~ \-\-5' . <br />STATE CERT OR REGIST # C.G.C 15010Q-O <br />CITY PROCESSING # <br /> <br />:~:::::R" //~. <br /> <br />*********************************** ****************************** <br /> <br />ELECTRICIAN OMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />******************************* ********************************** <br /> <br />PLUMBER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />************************** <br /> <br /> <br />***************+**~******************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />\[)( STATE CERT OR REGIST # <br />r 'CITY PROCESSING # <br /> <br />******************************************************.~********** <br /> <br />OTHER <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******-k**********************************************k+********+ <br />