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<br />CITY O~ ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhilla, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C/Z;4).//J HoIZJ ZOtt/ /1-1 I-/rP, <br /> <br />PHONE 8" /3---- 7~ z - /0(0 'f <br /> <br />JOB ADDRESS 37t,3'7 /V{V/(o/q jlVf. <br /> <br />LOT /r; 3 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION &f2/l-;Vi/ Hoef'?tJ!I/ jJ1J1? <br /> <br />BLOCK <br /> <br />PARCEL ID # )<f- 2-r:;- 2[- ~o 10- ()28"cc ~o J S--; <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />GrP:oDI TI ON <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />o OTHER ilL vlh / A!uA't <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />ESTAURANT ~LTH DEPARTMENT APPROVAL ~ <br />s-r-lf tJ ftX/4 -Sc/Zicf'! /2oo/l/l L "3 C LA R-folL r <br />&'7'1 <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />o;rE3UILDING <br />IlYEiECTRICAL <br /> <br />$ I 3 1 &F, L( S- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE. <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. W!fU.:' Sf/Iii? <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br /> <br />7:";7~_"j;-'"T'~1T,l--- -;-:-.- ;;;r'''''''-1f::--=--::fJ' <br />dl'..ll."!;(I~., :'., (, ,I,.): i ,f t:.{, ,Ii~ut;;H <br />~ f / ... J; ~ t ' . ~ <br />..........___.............:......1............. ~_K-"--......_. __ ~_....____"~...........-.......t:.. <br /> <br /> <br />SIGNATURE <br /> <br />~ fI, cuuP <br /> <br />COMPANYJ.) (/-1 Ct:1/V(OlVCr (0,"" IJF CE/Vla4L Fe ' <br />STATE CERT OR REGIST # C [sC{)~'l1( ~ z.. <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~4. <br /> <br />'00teP <br /> <br />COMPANY Ilc c r:-I .Cc r-rzr c <br />. I <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /~~ <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 />****************************************************************** <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 />