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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 B.... St, Zephyrhil1s, FL 33542 <br />B13-7BO-0020 FAX:B13-780-Q021 <br />DATE RECEIVED 9'-/3-0(0 <br /> <br />PHONE CONTACT FOR PERMITTINc{",/3 )927-9'3// <br /> <br />/ ~??S Au.Jro.m~r~tli~ <br />OWNER'S NAMEIMR, PII7RICli fI, MARSELLI1!- NJ!~. Mile/I: R, rreRf.lRD - PHONE ('3"/3) "l73-IO/O <br />o' "i M/lIlSeU/I <br />JOB ADDRESS j.5.E: CoRHcJ2 "of B AvE: r Jf}thS"[;lEE,7 2 f)VPL.e>tE~ 4- UNITS <br />I <br />LEGAL DESCRIrTION: LOT (S) /5 f /6 BLOCK Z-S SUBDIVISION MooRE. '5 FJR5, A DD/7/oAI <br />, <br /> <br />PARCEL ID # .l/d -Z(l;,-ZI-CX?/O-oZ5oo-o/so IOR'1'ATN FROM PROPF.R'1'Y TAX NOT Tr.F.1 <br />WORK PROPSEDr DNEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br />, DSIGN D MOVE D DEMOLISH <br />PROPOSED US!\:; DSGL FAMILY DWELLING J8(MULTI-FAMILY ~# OF UNITS 4 D MOBILE HOME <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ BUILDING <br />lZf ELECTRICAL <br /> <br />DESCRIPTION ~F WORK NEW CoJlSTRLlC7/CJ/'I 7'WttJ DUPL.eXEC;) J:"t:JuR LlN/75 <br /> <br />BUILDING SIZ~ .3?~sr7'IEIYI/EWAE SQUARE FOOTAGE 2400$,"(:, EAc.;I HEIGHT /5"'-(:; " <br />,&./)G , <br />RESIDENTIAL:tATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) S.E.,T ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~... ./ <br />IF SIGN PE IT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~Lopl.{ -qlr3 <br />! PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ,. .'...,., <br />~.~"~. '.., ~~( <br /> <br />PERMITS REQUESTED ~"'~ ~. :..7 <br /> <br />$ZOl?,TDO, &>0 VALUATION OF TOTAL CONSTRUCTIONS(,L'o'5 ~.Qb,60, <br /> <br />AMP SERVICE D FLORIDA POWER D W. R. E. c. m~ <br /> <br />1% PLUMBING <br /> <br />~MECHANlCAL $ <br /> <br />D GAS 0 ROOFkNG D SPECIALTY <br /> <br />TYPE OF CONST~UCTION:..if BLOCK <br />I <br />FINISHlW FLOO* ELEVATIONS 8" A"Br?t/E C:Pow/ll IS PROJECT IN FLOOD ZONE AREAD YES D NO <br />OF ,l!.oAf) <br /> <br /> <br />~~:::~"w C2fy<7~C71$ INc. " <br /> <br />STATE CERT OR REGIST # CBC0270.50 ~, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />BUILDER <br /> <br />"MECHANICAL, <br /> <br /> <br />SIGNATURE <br /> <br />eeknc <br /># GC-/SODr7~;J <br /> <br /> <br />PlitlNBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />**************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />