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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, ZephyrhillB, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ;;'IZ/INP /-kz(?tW /J.1 If..;' <br />JOB ADDRESS 3'7 & t 6 Iv E w Hoel G30;V EL VI.?, t-o r (;;"3 r & i.( <br /> <br />PHONE cPO - 7f2 - / Or;, 'f <br /> <br />SUBDIVISION G?A-/l.-i/ j.}()f.I GO# /7 11/. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID #s'f-2t;-21-0()/O-hZfoo - 0 {,3 f ~ 'f <br />WORK PROPSED: ~~W CONSTRUCTION ~DDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />[It'lNSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />GrOTHER <br />fJ, l.-vlYf. 11JVW1-- <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J R~URANT & HEALTH DE~TMENT APPROVA~ <br />.@<Y ~ ~ <br />12></'-1 SC;ZE/!;V rz3~/V1. , lox--rl S-1I!!'p. /4x:Jo CLJIZ/h/!-r- <br />, I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 7DtJ <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENE~GY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.//' <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br />~CTRICAL <br /> <br />$ !fog-lfP. 32 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C.l-d/!l/C s#'E~ <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 AREAO YES 0 NO <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />11. (?hf <br /> <br />, <br /> <br />.......-.,. <br /> <br />COMPANY B~I-) (ofv~Tllil(..rIOJ~ of CCN7/Zp(.. pc.. <br />STATE CERT OR REGIST # <:rsc o_~7'7 ~2-- <br />CITY PROCESSING # Z{~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />g~ <br /> <br />/7 /) Il ~;J <br />/j, ~~ <br /> <br />COMPANY 10 c..F E L.-E c net c <br />. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 15"'7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />" <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />