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<br />CITY OF ZEPHYRHILLS PERMI~ APPLICATION ~>>V <br />BUILDING DEPAR'IMiNT 5335 8th Street., Zephyrhills, FL 33542 . f.~' <br />813-780-0020 FAX: 813-780-0021 ;:: J}f-It!i <br />OAU RECEIVED V..... ~ <br />..., PI..ANS REVIEW FEE <br /> <br />OWNER'S NPJ.1E /VlIA1VtA. ~ ( L/I'rs' Q t\ f. l <br />.JOB ADDRESS ~~ lfO I] ~ 5- 'r <br /> <br />PHONE 3 S:) - '-19:11- () If q J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />rn1'NSTALL <br /> <br />DS1GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FMULY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE H0!1E <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Flt/~ C)c.,f/kSS/t)/'V '7y.sk/Vl <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ,ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (l) SET ENERGY FORMS, ~ 17 <br />REQUIRED FOR ALL NEW CONSTRUCTION, ~ t;; 0-' ' <br /> <br />~~.3 . J>- 5 ;3t!-, <br />PERMITS REQUESTED -de" 1; ./ . ~'..<-_/ · \ <br /> <br />VALUATION OF TOTAL CONSTRU5~ON IJ I ~ " <br />, u J r}// <br />AMP SERVICE 0 FLORIDA POWER 0 W.R,E. . <br /> <br />o ELECTRICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALT\' <br /> <br />VALUATION OF MECHANCIAL <br />~HER <br /> <br />Ii!:; / '}-- <br />'J 7' (}e/7 <br />(),Vi ,. <br />INSTALLATIOCN~~ j\~'7o <br />hllR C~/I'liJ11-1 P I;J <br /> <br />o STEEL 0 OTHER <br /> <br />o PLUMBING <br />~CHAN1CAL <br /> <br />s .~d-':J-o, t) () <br /> <br />'l'YPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />]'1 t. ': <br />1 J,' i <br />'1""",.,_.".,...,,1. <br /> <br />." I I ,.,.., ' <br />t' I' ,., " .' " <br />. ,! :.;' , ,:' ,I ,;'..: .~. ,." ".' "h. .11 r; .... i ( <br /> <br />~ --;~...-.--:...,..,.., .. ,,' 1 " ( , \'1," ,I ': '"~( +; - ~ <br />! 'I' I , <br />lJ" i l~....~~~_ __~__~. <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING ~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COt1PANY <br />STATE CERT OR REGIST # <br />CITY PROCES~ING ~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />Cm.1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />SIGNA'l'URE <br /> <br />***************************************************************** <br /> <br />OTHER H~&;:J/ f2;~yJ /f~ <br />SIGNATURE . /' (.\ <br />.. <br /> <br />COt-1PANY J#.t7,V:fhuM.> h,€.e y Jt+;::e:l-;b-ll {v We. <br />STATE CER!' OR REGIST # ~j 1)'0 SU~()II~ tig> <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />