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<br />V <br />\cf; <br />>'9:~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED 6-lg-Q 3 <br />PLANS REVIEW FE~ <br /> <br />AlZ-t El <br /> <br />Lap E 'Z.. <br /> <br />L::1U '::>TC\. va. <br />PHONE B\~- BIC)"=\-S43 <br /> <br />OWNER'S NAME <br /> <br />,JOB ADDRESS 3~ ':::>'\ 2- <br /> <br />iLenne.d l..\ <br /> <br />AveY\ve- <br /> <br />'~lA\r~\\\'i-- <br /> <br />~l <br />T ~. <br /> <br />3~S4z.. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />CP~~'~'~U ~ D'L~ I fl.- ~ C, - 2/- CJ:<' <;( [) ~ CJ I} 000 .- D ~ /0 <br />\I}ORK PROPS8D: 0 NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~L FAMILY [JWF,LLING <br />DCOMMERCIM.J <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPE;B.1'.YJAXJiOTICE\ <br /> <br />[}1""AD D IT 10 N OALTERATION o REPAIR o INSTALL <br />o t10VE 0 DEt1OJ.JISH <br />Ot1ULT I - F'At1IL Y Ojl OF UNITS o t10BILE Hm1E <br />o HJDUSTRIAL o SIHMt1ING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARH1ENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />A~\.iIO~ <br /> <br />O~ 2. 1?1::.0tJ;:oM --z.. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~\-\ - -\=-n w\\ \u \2ocYv\.\:) "" \\o.t \\-ED f>\tED <br />\ <br />~ Be HEIGHT is pt. <br /> <br />RESIDENTIAL: <br />COMt1ERC lAL: <br /> <br />l\TTA.CH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET E~lERGY FORtvlS, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />6>( yerL+( ~ 1-, <br /> <br />~WING <br />~~;'l'RICl\L <br /> <br />/ <br /> <br />~JUMING <br /> <br />~ ~.:2,< 000 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E,C, <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o Gl\S <br /> <br />o ROOF'HJG <br /> <br />o SFECIALTY <br /> <br />o OTHER <br /> <br />'l'YFE OF' CONSTRUCTION: [if BLOCK <br /> <br />o FRAt.1E <br /> <br />o STEEL <br /> <br />o OTIIER <br /> <br />nNISII8D FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNl\TURE <br /> <br />..-\C?-IEL L()P~2_ <br />B <br /> <br />OMPANY OWr'lVy <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />* * * * * * ~ * * * * * * * *, <br /> <br />****+~****~**********~*********+****** <br /> <br />SlGNl\TURE <br /> <br />l..---" <br /> <br />COtvlPANY <br />STATE CER'l' OR REGIST # <br />CITY PROCESSING I <br /> <br />( ( <br /> <br />ELECTRICI1\N <br /> <br />***k*******************************************~****~******~***~** <br /> <br />PLUMBER <br /> <br />~ COMPANY <br />l STATE CERT OR REGIST # <br />I~ CITY PROCESSING # <br /> <br />*~* ***** ********************~*****************************~* <br /> <br />II <br /> <br />SIGNATfJRF; <br /> <br />MECHANICAL <br /> <br />SIGNl\TURE <br /> <br /> <br />Cm~PANY <br />STATE CERT OR REGIST I <br />CITY PROCESSING I <br /> <br />n <br /> <br />* ******************************~********~*~******** <br /> <br />OTHER <br /> <br />cmJIPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGt1ATfJRE: <br /> <br />**************.**~***********+*****************~****~******'******* <br />