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<br />-~ <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ~'-~7-73YO <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, PL 33540 <br />Phone: 813-780-0020 Fax: 813-780-00~~TE RECEIVED '713/0 l.o <br /> <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME .? e A-fr<7'2-.S.. XkJ/ /A/(... <br />JOB SITE ADDRESS ~8/G::> C3I"JLL '".:i:i.V.iJ <br /> <br />PHONE CONTACT 7 J c - S' ~ r-;;: <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 62-Z-G. -ZI - 00 I C '-6Z'foG -60 <='0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />DSIGN <br /> <br />o MOVE <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 INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~"'~LL :/-72~ <;'JPPE".-=-...cJ:/OY .sy-G"'''-h''''J <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 & (l) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />Cuyct.r. tee c901 ro - <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$d~.c.MD <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />t <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY...5.,...-C','C'~{ hiu-- cQlJlJ'rn,'"7V/:, ,,<... <br />. ~ ::; STATE CERT OR R GIST #f: 5'"o<CSS"z-oOOCCaoy <br />SIGNATURE / ~ ~ ;/~~~ CITY PROCESSING # <br />7 --- <br /> <br />/ **************************************** <br /> <br />* * * ..... <br /> <br />,,~"A~ ;~3:~~';;~ !;~::;- ~:'~'::\,\/~({~t".l.. r,. <br /> <br />'JiiS "'f!'J.A .!:f!il,.1 :'("~'~. , ""~' . t <br />' . ~l. ~t:!~ I,; ~-~ ,\t)(?';"i'<~ ~ '~:~:r:';. ~~~:,. r <br /> <br />__ __ 4J. __ ~ .............~ <br />