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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 />JOB ADDRESS <br /> <br />C; 1ZIf;J P <br />17 Co z if <br /> <br />)/ct2l &O;V ;n /1;/ <br />(VEu jCDVV\. !J.IJE <br /> <br />PHONE ~)- /3- '7J 2 -I Db l( <br /> <br />OWNER'S NAME <br /> <br />J..--OJ <br /> <br />r~ <br /> <br />SUBDIVISION0}c?/t/YP jJO{2fZ6;<J fV1 Hf <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL I D # '1 tf - 2 5' - 2- I - (90' 0 - o;zrao - 00 I J' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERC IAL <br /> <br />~DITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />ffi'fNs TAL L <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 />~A.t-vfrl.1 X-/ () ,vi. <br />bTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />0,7' <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 />~UILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />'2-~Cf3} , ~O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W,R.E.C, <br /> <br />wt/Ui &/1[// <br />:./~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br /> <br />.....' <br />,'. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />~7T7~~Jnm~~~':"""'''''''';Vf:'I, - ..t; I <br />'Ir';:\"{1i'~.!J:(h'Jj!,t,)):!\,,~ '~:ll'1li,H~~J' <br />! f r Ii" ~ <br />;~_......~...~w_______........_~.... "",:I.. <br /> <br />SIGNATURE <br /> <br />~H\~ <br /> <br />COMPANY f5t I-!C' oNfr/lC/C(('6/J O~ CC/Vr,eA-'-. FL, <br />STATE CERT OR REGIST # c(5eos7~J2L <br />CITY PROCESSING #~G,' <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />&~ 'Il. M~ <br /> <br />COMPANY /Jet E LI~ r/U C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J R '7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************x************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************~**~***** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />