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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR1~NT 5335 Sth Street, Zephyrhills, FL 33542 <br />813-7S0-0020 FAX:S13-7S0-0021 i~~} / n~ <br />DATE RECI!: IVETJ-:.-}:'.~-- <br />PLANS REVIEW FEE <br /> <br />OWNER'S Nl\ME ~V1 A-cl.o..m S <br />,J08 ADDRESS~ Ljtf'f:<' hmbu--l.Uo:1 <br />LE:GArJ DESeRI PTION: LOT (S) \ BLOCK <br />PARCE,L 10 # IS"-~'~\ -C)Q1C()- ()C)C:CX:) - 00\ () <br /> <br />PHONE (200 ) ~'1';> -~IO~ <br /> <br />SUBDIVISTON Ccwt ~ l.L(L.("e, <br />(OBTAl.lLE.B..QM. PROPElll'Y TAX NOTICE) <br /> <br />WORK PROPSE;D: ~JE:W CONSTRUCT ION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTl\LL <br /> <br />OS IGN <br />PROPOSED USE: ~L Fl\MILY DWELLING <br /> <br />o t..JOVE <br /> <br />o DEMOLISH <br /> <br />OCOMMERCIAL <br /> <br />Ot1ULTI - FAt1IL Y <br />o INDUSTRIAL <br /> <br />Ojl OF utnTs <br />o S~nMtlING POOL <br /> <br />o t108ILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTt1EtlT APPROVAL <br />DESCRIPTION OF WORK c..ons+n,u...t mCLSOYl(~~YYlI I~ h~-<- <br />BUILDING SIZE SQUARE FOOTAGE 1C\8 ~ <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 />M BU.I.LDING <br />gELECTRICl\L <br />rsfPLUMBING <br />[g"~1ECHl\N I CArJ <br /> <br />.7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AtvlP SERVICE <br /> <br />~ <br /> <br />nORIDA POWER <br /> <br />CI <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />3340.OD <br /> <br />VALUATION OF MECHANCIAL <br /> <br />lUSTALLATlON _d/7 '6 <br />~7tJ <br /> <br />o GAS <br /> <br />[j ROOF'lNG <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISH8D FLOOR ELEVAT 10t,IS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~tl0 <br /> <br /> <br />BUILDER <br />SIGt~ATURF; ~.~ r- <br />,0 <br /> <br /> <br /> <br />SIGNA'l'URE <br /> <br />***~*********~******************~~*********~***~*******~********** <br /> <br />SIGNATURE; <br /> <br /> <br />S ' I P'lM'Y)b~ <br />COMPANY d1 e.YY\Clx'\ _ <br />STATE CERT OR REGIST # CF~OY ;l,.\ <br />CITY PROCESSING # .--La' <br /> <br />PLUMBER <br /> <br />MECHANIC <br /> <br />******************************************************~***.~****** <br /> <br />OTHER <br /> <br />C0t1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******************************************************~***'******* <br />