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<br />71/1" ,- (i, \ 51t~~CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />, 1~ BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />, \ .......---:~~ ______ 813-780-0020 FAX: 813-780-0021 ;;? _ Z-D~ <br />~ ~;~ ' DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />11~ c/u v- <br /> <br /> <br />PHONE <br /> <br />JIJ- 7/ J: u ~) S~ <br /> <br />JOB ADDRESS 35 30 <br /> <br />1 70 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />g <br /> <br /> <br />PARCEL ID # .)'-1- J(,- 21- 02;..<u- 2-:'.)00- 0)/:,0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />[2g'INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMME RC I AL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ MOBI LE HOME <br />o OTHER <br /> <br />D <br /> <br />DESCRIPTION OF WORK, ;Ie) <br />/YY~)I <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />:x I f-'li/' (/a, I< (IJf uci / ~:YJ" T <br /> <br />SQUARE FOOTAGE 5 J D HEIGHT <br /> <br />BUILDING SIZE <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 />o GAS <br /> <br />o ROOFING <br /> <br /> PERMITS REQUESTED <br />$ 'Ju (') VALUATION OF TOTAL CONSTRUCTION <br /> It) (\ AMP SERVICE 0 FLORIDA POWER ~/ W.R.E.C. <br />$ !_r0(~ VALUATION OF MECHANCIAL INSTALLATION <br />, <br /> o SPECIALTY 0 OTHER <br /> <br />Q--BUILDING <br />GYELECTRICAL <br />~UMBING <br /> <br />Ud"'MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br /><J (, <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />[;8f NO <br /> <br />SIGNATURE <br /> <br /> <br />M <br /> <br /> <br />COMPANY ro &. ~ <br />S'l'ATE CERT OR REGIST # :r 11-(j:.:.:"::-60 r <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN. '. > ;(. .,,'.' icU'L <br />SIGNATURE ,/;?;tZAA. /vt;{ - <br />,r:; <br /> <br />COMPANY r2 ~h"1 7/11 -1</;1/ I V.-J <br />STATE CERT 0 REGIST # EZ -- (j() <;-6 y' <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />j/L!Jc:li <br /> <br />COMPANY <br />STATE CERT OR REGIST # T 1/ oc:.lcc. bur <br />CITY PROCESSING # <br /> <br />if) 14 ,C v <br /> <br />SIGNATURE <br /> <br />******************************************** :(*A***** <br />MECHANICAL , COMPANY '- <br /> <br />SIGNATURE ,l/ R/~Y Fj <br />I.. t4':t /f~~ <br />, <br /> <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />