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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAMEflg.ll//e/ /I Ii/tlOW/tcJfi/ (k.,..X 6-J9.s~) PHONEB/S-783- //(0 g <br />5'13~ '7'f1.1 57. ~ -, <br />JOB ADDRESS_@O~d.Of~ ~j-~Jt1bvCJ'J~2J, <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # 1/,~0 ~/ 190/D 00.500 lJOSD (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o M8VE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 1tIf/lj) A;://d';.v.i; hi!- )) c:f If GIns { <br />~ t' <br />BUILDING SIZE 5D )< i+S-/ SQUARE FOOTAGE 7d'::;-O ~F HEIGHT;{O/ ~/l-J/C! <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 />~UILDING <br />~LECTRICAL <br />~UMBING <br />~CHANICAL <br /> <br />PERMITS REQUESTED <br />$~ cr) ~Dn . Q9 VALU~TION OF TOTAL CONSTRUCTION <br />ld.ob.08 _?PhtufMP SERVICE ~LORIDA POWER 0 <br /> <br /> <br />W.R.E.C. <br /> <br />DO <br />$ c6)0 00, - <br /> <br />,"..'.'-, <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAME <br />q I # ~O <br /> <br />~EL <br /> <br />; <br />! <br />/// ,?'6 ( ,. <br />( Jt %/ <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />[!f1fO <br /> <br />SIGNATU~ <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />************************************************* <br /> <br />ELECTRICIAN <br />SIGNATURE .-\/-/I/;d~ /' ~-7' '- <br /> <br />COMPANY C/'?J/H<<t/ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />E/ec r. <br /># 000035/ <br /> <br />~ <br /> <br />****~*********************T*************************************** <br /> <br />SIGNATURE <br /> <br />~#nyt-~ <br /> <br />******************************************~********************* <br />COMPANY ..e /.H(j~ .4/ /12 <br />STATE CERT OR REGIST I em r: 0 II / () 7~ <br />CITY PROCESSING # <br /> <br />COMPANy#ge;no-v ~ :!!:-:::' <br />STATE CERT OR REGIST - -. ~z.c,~,-f~ <br />CITY PROCESSING # I ~ 1 . <br /> <br />PLUMBER , ~ <br /> <br />SIGNATURE (j)jJl4' 1 jttVUJ1 tlf1 <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />