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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, ZephyrhiJ.J.s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 '7/5'- tJ(J,oCJ <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME IllR<4-ffJ/l.s Co2b-1/ i-mej/5'i/:J :5t-JAAJSf!2l>1Y\ PHONE <br />, <br /> <br />JOB ADDRESS ,')~O~ '1J'1A.tfa'2.~~ e !J/L Zeph,vlZ-h.ll..s (! L ~~S-~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # J~-~to-O)\~roL.{O-C04c()-OlloD <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />~IMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE 1boL .<:;rZE Jd."f..(;)'-/ J <br /> <br /> <br />SQUARE FOOTAGE 75to1NcJL{(!i^!3~lL. <br /> <br />HEIGHT <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br />~ECTRICAL <br />~UMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br />$ /10300~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />&H It <br /> <br />VALUATION OF MECHANCIAL INSTALLATION e~ <br />o OTHER 7/{ --- Lf / r .s- <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br /> <br />BUILDER <br />SIGNATURE ~~C ~ <br /> <br />COMPANY OtJ..'~~ Co,,-..A-l2.Ae..,-b"R. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE lLJVle~c.. ~ - <br /> <br />COMPANY OU,~"-\Ejl'~_ Car-.Y-\-~AC_+()I<. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />X /YlD~~ 5~ <br /> <br />COMPANY Or.".... \/m... C(j",.:A-t2A~-bR <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br />SIGNATURE ?;f~ <br /> <br />OTHER . _ .:f::iitH.H....... _':H _.......H........::~::,::...~...:;;~.;;jd4 <br /> <br />~ _'~ STATE CERT OR REGIST # . dd -,F <I,;!, <br />SIGNATURE" rg S r~ CITY PROCESSING # ;2... ~. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********************************************************'******* <br />