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<br />CITY OF ZEPHYRHILLS PERMIT.APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME G/Z/fIJo 1-11),(.( 7o;v M Ii f <br />JOB ADDRESS )7(~t{.r LAN/J15 AVE ~T q I <br /> <br />PHONE 6'-/5- 76- Z - fora '( <br /> <br />SUB D I V I S ION c:;; /l/lN,91 !-/tJj(. ( Z t) AI fYllJl1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 1Lf~2S-21 - {Jot 0 - OZ-t?OD-[Jorl (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />anWD IT ION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />B'lNSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS 0 MOBILE HOME <br />~AL.(//n( ;,..It'1I1 <br />OSWIMMING POOL cr OTHER <br /> <br />@ <br />74 CAf4Jc r- <br /> <br />DESCRIPTION OF WORK. <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SI ZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br />ov6.:'ECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />l ~ I '-+z . , ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R,E.C. 01 tzE S(!i~ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />~lrz~~r,n;~~:~:;f,,;i\Wf~),' <br />, J...L......~J.L_J~ .'"'.............~ _:_____-<-<-~....~..." <br /> <br />SIGNATURE <br /> <br />~ At ~Q <br /> <br />COMPANY Et (/ cOfl/'?rlzv:::.rfcoj-./ <PF- ~ r-::c. <br />STATE CERT OR REGIST # ~ o_t:;7t7rf'L <br />CITY PROCESSING # 2- ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~- <br /> <br />/J ~ <br />#'-/.. , <br />. <br /> <br />COMPANY ,fleE pU~crfL{'( <br />STATE CERT OR REGIST # ~ <br />CITY PROCESSING # {f"'7 <br /> <br />ELECTRICIAN <br /> <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />