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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 I I <br />813-780-0020 FAX:813-780-0021 <br />DATE RECE IVED /0 , (5 D-; <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME B el- A-I r~ I nv'e'St-r'Y\el'\.~ <br />JOB ADDRESS---3.1!:JO Qua.kp-l"" R,'~e ST. <br />LEGAL DESCRIPTION: LOT(S) 7G2 BLOCK <br />PARCEL 10 # ~L/- ~(q-d.l- 0030-()(Xj)()-075o <br /> <br />PtUto P~('t\; t- $erVlCe. <br />PHONEI.-~G,(P - ~ .;;tL - 7 &' q t.f <br /> <br />SUBDIVISION ~e.st-(c., Oa..ks <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DSIGN <br />PROPOSED USE: p(gGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />M ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o ~10B ILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 'KCVrY1 Add i+,'Dn. ) 6hPIJ ) Scr~e.1'l Room <br />LI V t ~ ,c} ~a... /.:l)( .;2. () ;:. .;1 '-I 0 f/:r <br />BUILDING SIZE .5Cr'~ -/0)( ::Jt.. SQUARE FOOTAGE .xru~ ~r.o '* <br />She&... - I ~ x.. IS- shd 180 I/! <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS. & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT 5ee.. oft::!,. ~ <br />.. <br /> <br />ENERGY FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />lZY'i3"u ILDI NG <br />~LECTRICAL <br />~LUMBING <br /> <br />$ c::< Or 0190 <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 />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA.TION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o 0'1' HER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br /> <br />COMPANY M,' ke. W j f" <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER .... <br />SIGNATURE ,~ w._-<'.~xt2l?~-fl1xj <br /> <br />'LECTRICI~ <br />SIGNATURE ... ~ <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************************************************+**'******* <br />