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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 NAME (;IZ/l-NO <br />JOB ADDRESS ?/7 5. L./~ <br /> <br />POIl(?oN /Yl 1-1 (J <br />N bU--l tJOfl ( C otJS <br /> <br />PHONE cf13- '7crz -I Df r <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOr~'7 <br />SUBDIVI S ION (:!2J4ItJ::J /-JOJ& c:~A/ m iJI <br /> <br />PARCEL ID # '3t{- - 2 '>~ - 2/ - 001 D - D2cf'tfJO - OtJ61 (OBTAIN <br />WORK PROPSED: eTffEw CONSTRUCTION ~DITION DALTERATION <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />fi:}-'fNSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~l-V',#ll ,vv~ <br />OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J R~RANT & HEA~PARTMENT APPROVAL <br /> <br />) () X I iT S ;--.JE,?l I I Y K:fiI Scar E/v /4-rJ"A I <br />/ I <br />SQUARE FOOTAGE '11 ~ <br /> <br />(f2D <br />14x z~ cA~{)lcr <br /> <br />DESCRIPTION OF WORK <br /> <br />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 />PERMITS REQUESTED <br /> <br />~ILDING <br /> <br />$ f zJ' ) { . t ~ <br /> <br />~LECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />OW. R . E . C . (.,......- I fl.E S IIEIl <br /> <br />o FLORIDA POWER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o O:::~ATION OF MECHANCIAL INSTALLATI~:' "~ <br /> <br /> <br />o FRAME 0 STEEL 0 OTHER <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />...,~~"'"~~~.~~~-~ ~,..-...... -~...",. O'~,.,........-. E'1'~~--- <br />~:t~t\H1~U~(~' 1,J,,)f ,'f'~.!I, IPI/~',".)~' <br />'i f l IN) I I r ~ , <br />~_~"'__""'~....wl..:....i..~~___.....-.~.....;........;........' <br /> <br />BUILDER <br /> <br />SIGNATURE ~ f). <br /> <br />~ <br /> <br />COMPANY 1'51 H C'oN5T7?i/c_ (f6tVt9r- C(;"A/T!lAL pL, <br />STATE CERT OR REGIST # cISCo '5 ryl7 r'L <br />CITY PROCESSING # ~~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ II fllxP <br /> <br />COMPANY fkF f LC crfl ( c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1~'7 <br /> <br />ELECTRICIAN <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 />*******************************************************j.********* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />