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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />aUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNElR'S Nl\ME V J C j{ 'I <br />. <br /> <br />,JOB ADDRESS :3 9'J /9 <br /> <br />InfI-//7FfJ/J..1. ) ./Jrltl3AtlA t", <br />/ <br /> <br />97}/ ROc 2 e jJ;J y /? JJ Ii ~ ../, <br />, <br /> <br />LE:GAL DF~SCRI PTION: LOT (S) ~!J.. <br />PARCEL ID # }.:.).-,M-.) j-{).JOIf-CJ()(JO <br /> <br />wri7t ,lj <br />PHONE YI;J ~ 7J7r1- <br />FL 3.JuY~ <br /> <br />;1 J Id <br /> <br />SUBDIVISION S /I /JS e T 1:J7;9- TC'.J <br />- cJjjt1lOBTAIU FROM PROPEB.TY TAX NOTICE) <br /> <br />BLOCK <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGt-l <br /> <br />PROPOSED USF.: OSGL. Fl\MILY DWELLING <br /> <br />OCm1MERCIAL <br /> <br />D RESTAURANT & HEALTH DEPAR'n1ENT. APPROVAL j1c;~ IH /7/t' tJ .,d / /'( ~ ",,/ <br />f/i A ( e /). .5';1 e /).f 0 I) L c/ T -- / .A '- ;-( ~ q,())' . ). <br />DESCRIPTION OF WORK 5'lfc ~. gtlJL -/jJ.['-5 l;2'/~.eTY J.. .!A~J ,Fc'"t.t., <br />e 'i {J 'T J.4-1.. a (. If I JI\ At"e \ I 50 .I;:""C;, {' p /. J ;='<.0.. M {fdf ;!,~. _ur <br />BUILDING SIZE SJ.lp(J{ Altf. 13(,ITH J'YldSQUARE F~TAGE ~tI '/ 2.... HEIdif? Ji'lI'/l/r{'(' <br /> <br />o ADDITION OALTERATION o REPAIR o INSTl\LL <br />o t10VE 0 DEt10LISH <br />Ot1ULT I - F"At1IL Y OjlOF UNITS o t10BILE Hot1E <br />o INDUSTRIAL o SWIMt1ING POOL o OTHER <br /> <br />RESIDENTIATJ: <br />COMMERCIAL: <br /> <br />l\TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTl\CH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />FROFERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />'~UJLDING <br />o ELECTRICl\L <br /> <br />.S <br /> <br />/tJ7~.z rctfTA~ C <br />rp/~ ~e" It' ~ J:J~ I <br />IT:J t - PERMITS REQUESTED A.".AtI~ <br /> <br />J, ~ oCr -@-< .. Id :~UA T roll OF TOTAL CONSTRue: ;,;!fJ ; ~I I, /;tv, '.,.' <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. " 'P <br /> <br />o PLUMBING <br />o MFXHl\NICAL <br /> <br />TYPE OF' CONSTRUCTION: 0 BLOCK <br /> <br />o FRAt1E <br /> <br />o STEEL <br /> <br />,; L~~ <br />IHSTAl'LAT~ON ~I ')),. oOIP 3 <br /> <br />"--- <'f<i\ l <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o Gl\S <br /> <br />o ROOFING <br /> <br />o SFECIl\LTY <br /> <br />o OTHER <br /> <br />o OTHER <br /> <br />FINIS!lfW FLOOR ELEVATIONS <br /> <br />IS FROJECT IN FLOOD ZONE l\REAO YES 0 NO <br /> <br /> <br /> <br />BUILDER ~ COMPANYX !It' m ~ cJ vi/) tIC <br />/ t) 0.&o/J1 STATE CERT OR REGIST # <br />SIGNATURE, Z1c. ~Z4~ Cl'rY PROCESSING # <br /> <br />*********k**********~~*~********+*****~*k******k*~'k*********~***** <br /> <br />ELECTRICI1\N <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />09 IGNATURF~ <br /> <br />********************************k********"k************************ <br /> <br />PLUMBER <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***~**********************+*********************+***************** <br /> <br />MECHANICAL <br /> <br />CQt1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****~*********************************************************** <br /> <br />OTHER <br /> <br />CQtJ]FANY <br />STATE CERT OR REGJST # <br />CITY PROCESSING # <br /> <br />SIGNATURF, <br /> <br />***********************~*+*****~**************~***********'******* <br />