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<br />CLTY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINtJ DSPARTMBNT 5335 Sth STREET ZEPHYRHILLS, PI. 33540 <br />Phon8IB13-780-0020 FaxI813-7S0-0021 I <br />DATB RBCBIVllID 1::. ~. ,,~_. <br />s\? PLANS RBVIBN FHB <br />'31 (p 3\\. '2.~ ~ C hp ,Iff&, <br />I OWNER'S NAME ~~ ~-W ~ ~ . PRONE CONTACT~13-~O(,-7M'Z- <br /> <br />JOB SITE ADDRESS S:3.1,1-$1 ?,/If _ .~ _._~ / FL a35~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />PARCEL ID # 11-~6-J/-DOIO-IS/Ot)-OJ~tJ (OBTAIN F'ROM PROPERTY TAX NOTICE) <br /> <br />[JADDITION <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />DREPAIR <br /> <br />~TALL <br /> <br />DSIGN <br /> <br />[J MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />[JMULTI-FAMILY <br /> <br />-0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />I1t'COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />o RESTAURANT & HEAL'l'H DEPARTMEN'r APPROVAL <br />DESCRIPTION OF WORK ~ ~ ~ ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />[] FI,ORIDA POWER <br /> <br />[] <br /> <br />NOt.. / <br />Crirr ke ../'" <br />W.R.E.C. vJm / <br />k\lw_ <br /> <br />[] BUILDING <br />[] ELECTRICAL <br /> <br />$ <br /> <br />~ ~CC ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALI,A~rION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST #. <br />CI'rY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNA'l'tJRE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <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 />~~ COMPANY[l.'fJ. <br />/) 17 -~~ '1(7 -~ STATE CERT OR EGIST DL:>t)/!, <br />SIGN~TURE ~ ~ CITY PROCESSING # :3 O;l. 0 <br /> <br />~Lf~IS-C***************************************************************** <br /> <br />***************************************************************** <br /> <br />)THIIR <br /> <br />