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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILD~NG EPARTMENT 53358th Str. eet, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 If) /;1( 1~'3 <br />Ir- C\ \ '? .", --, 7 f'l<:- DATE RECEIVED . I <br />' ~~) nrC~t C; 'S5,~-::::. '{~.. I ~.~.::> PLANS REVIEW FEE <br /> <br />,f1 (J ,-of""" <br />C.-JJ!f(': ( f/ 15 <br /> <br />OWNER'S NAME _L4lJ-.fen( e. ~ r\\o..r', e. <br />JOB ADDRESS S \3S ~\ ~ S-t, f'C"t <br /> <br />(;o..h, PHONE()? l ~ 1Il~;'~ <br />Ley\''j, h,\\s l f'L- S ~ S Ll~L <br />LEGAL DESCRIPTION: LOT(S) C::>\L\O BLOCKDOlOO SUBDIVISION F~f\e C ,("&\- <br />PARCEL ID # \ d. - d-b- d- \- DO \'0- OD l 00- at \.(c) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />1)(LTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE~GL FAMILY DWELLING <br />o COMMERC IAL <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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~e ?lctc e. t.t W .t""Y')~s. ~ \ LC- -f'u (' <br /> <br /><.... . <br />.;:) , ~ c:_ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />mUILDING <br /> <br />tjJ <br />$ dS 8 h'- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C/'" <br />/' <br />" <br /> <br />..........~.... <br /> <br />o PLUMBING <br /> <br />/ <br /> <br />\ <br /> <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 />7' <br /> <br />BUILDER COMPANy,ne.-~\o.nc. C~eyO\ -~~\\ed So.'rs <br />STATE CERT OR REGIST # C t<c. D~~S on <br />SIGNATURE CITY PROCESSING # CJ \ ~b'-\. 'K <br /> <br /> <br /> <br />******************* ********************************************** <br /> <br />ELECTRICIAN COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <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 />TGNATURE <br /> <br />***************************************************************** <br />