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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 />11- ,- 03 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME e u-~ h~"i.. (J ,/PI, //.- S PHONE 97..1 S2S () <br /> <br />JOB ADDRESS /~-r;.,'1 (]Ar(Jt~J w{11.! (../13,1. <br />62. ""^" -2/ ()2.3 0 - 0 d 0 c.lf.:" - 0.2.:1 0 <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 0/11<' (/.?~:.J <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~~MILY DWELLING <br />o COMMERCIAL <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 />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~-GW (ta,-,,-> <- <br />, II -.J1 <br />BUILDING SIZE Yf1. f~, SQUARE FOOTAGE 1$11 ,J.../~1)7 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS~ ,. . ' 1'7 <br />tJt:-r1 Lh Cfl ~ <br /> <br />~I\,AV\I\~( f2.w\(.r.rj <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION ~ . tD~ <br />.~FLORIDA POWER 0 W,R.E,C. ' N <br /> <br />o BUILDING <br /> <br />$ <br /> <br />-77. qvv- <br /> <br />o ELECTRICAL <br /> <br />Zcf'V' <br /> <br />A~1P SERVICE <br /> <br />o PLUMBING <br />o tvlECHANICAL <br /> <br />$ '2. 9CJU i ,,..,- <br /> <br />VALUATION OF tvlECHANCIAL INSTALLA'I'ION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~ <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE ~~~.-LJ <br /> <br />Q ,..,.... <br />COMPANY {N(Jc"" C~.s.Iu.-7;...J <br />STATE CERT OR REGIST # f'2 J <br />CITY PROCESSING # <br /> <br />*J-**************************************************************** <br /> <br />MECHANICAL / <br />SIGNATURE -L4~ f1~7J;~ <br /> <br />COMPANY ::r~a....v C:/'C..l:.J7f~ <br />t..J' 0-7 /? .~ STATE CERT OR REGIST # - ~,t-4- <br />~ ~~ CITY PROCESSING # . J.<h? ~:..-~ <br />1-' ~ ~"l' . <br /> <br />*****************************************************************~ r;lc~ qV <br /> <br />COMPANyC.j-c,.,.".....J.. ~<.........4..J <br /> <br />~II ZIti/? STATE CERT OR REGIST I ~ <br />SIGNATURE ----0d~.--/'S.J~ CITY PROCESSING # ~ - c.:::I <br /> <br />""""""'""""""""""""""""""",""(""",,, G7' ~ .~ <br />COMPANY '5'~,v-V 5 rfUij' <br />STATE CERT OR REGIST # (Am -60 If c.r tJJ ( <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />*-~*************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /><~:~.~ <br /> <br />1 <br />" <br /> <br />***************************************************************** <br /> <br />,~ <br />