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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />8UILDING DEPAR~~N~ 5335 8th Street, Zephyrhillsr FL 33542 ~~, <br />813-780-0020 FAX:813-780-0021 17 <br />DATE RECE IVED+... <br />PL1\NS REVIEW F, . <br /> <br />OWN8R'S NAHE Scot\- ~&nfY\fA.., mCU1l~ <br />,JOB ADDRESS lf~.3t4 lTm~~("" L0~ I L-ot ;)- <br />LEGAL DF":SCRI PTION: LOT (S) ~ BLOCK <br />PARCEL 10 # IS--~~- d 1- Od.OO -00000 - 0 O~O <br /> <br />PHONE 81~ f~O-tcSOS <br /> <br />SUBDIVISION Cou.rt S~UD-r~ <br />(OBTAIN FROM PROPERTY TAX NOTIf-EI <br /> <br />WORK PROPSED: ~EW CONSTRUCTI.ON <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DS1GN <br />PROPOSED USE: ~SGL FAMILY DWF.LLING <br /> <br />o 110VE <br /> <br />o DE110LISH <br /> <br />D11ULTI - FA1HLY <br /> <br />o It OF UNITS <br />o SWIMMING POOL <br /> <br />o 110BILE Hm1E <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />D RESTAURANT & HEALTH DEPARn1E~lT APPROVAL <br />DESCRIPTION OF WORK 'B\cL S~I +O-.rni Ij ~stocj rno..S.OVlt'".:J l-Pr-oJYlf.. l-)~e.... <br />BUILDING SIZE SQUARE FOOTAGE ~/l.{ l.,. $3 HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~8UnDING <br />g"ELECTRICl\L <br />~LUWnNG <br />~MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />,$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />....-.----- <br /> <br />~ <br /> <br />AlvlP SERVICE <br /> <br />if FLORI DA POWER <br /> <br />o V.l.R.E;:C~ <br />/ <br />/ / ...".fj J <br />(,/ ~~ t'" <br />I A ~ <br />mSTALLATION/1-. 'Iv // <br /> <br /> <br />$ <br /> <br />34SJ.c() <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF' CONSTRUCTION: ~ BLOCK <br /> <br />g FRAt1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIotlS <br /> <br />IS. PROJECT IN FLOOD ZONE AREAO YES ~10 <br /> <br /> <br /> <br /> <br />Cm1PANY T€Y\BYi~L i f\-..s..s.oc:..-'n.+es ~~ <br />STATE CERT OR REGIST # C6c..(Y..f34~;;l- <br />CITY PROCESSING # :s~1 <br /> <br />8UILDER <br /> <br />************************ <br /> <br />***h*+*+*~***********+**+,~*************** <br /> <br />ELECTRICIl\N <br />SIGNATURE ~-- JJ ~ <br /> <br />(2 <br /> <br />COMPANY Ree~~ Ctectn<.....C\.J I ~. <br />STATE CERT OR REGIST # EC I~DO'3S3 <br />CITY PROCESSING 11~~~ <br /> <br />****************************+****~*********************~(********** <br /> <br />SIGNATURE <br /> <br />COlvlPANY Sc-h l~ -P~\A..YY\bi'Y~ <br />STATE CERT OR REGIST 11 C. Fe.. 04' al <br />CITY PROCESSING 11 I d--"( <br /> <br />PLUMBER <br /> <br /> <br />* * ** * * * * * * ** ** * * * ** * * ** * * * ** ** * * * ** * ** ** * * h*-* *..t ~,'" * * ** * **,.. **** * * **A <br />. Cm1PANY rtY\CU e..t..U 's H-e.a.. i1~ ~ \.:00 I, ~ <br /> <br />~ .STATE CERT OR REGIST 11 C~05g-~g7 <br /> <br />CITY PROCESSING It-.2c; J] <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE; <br /> <br />**********************************************+***********'******* <br />