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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 />W&<fl 1/;,;u-C3 <br /> <br />DATE RECE IVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C.A \-v\.J\.-~ tbww mex:W <br />JOB ADDRESS;>"l S iff ~ ('t'V\Q u'tre. (k>+- /33) <br />LEGAL DESCRIPTION: LOT(S) '3~ BLOCK <br />PARCEL 10 #~Y'd-S-ol) - O()C((). OODOo,-/ ~~O <br /> <br />~().J..) j{'hYlo- ~ <br />PHONE 8r~-'JLf& -S-34 y <br /> <br />SUBDIVISION () yUhdJ l-Ioa~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />G11c)BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Q 1'\' II 1 _ t /' .. 1 <br />c }j.... X <)'0.. e rVlOW) ~ ~1 vrl -.Q.. ~ f <br /> <br />,~J. I -x. ~-Ol B" SQUARE FOOTAGE ,)"'5 ~ <br /> <br />HEIGHT <br /> <br />1'-1 ; <br /> <br />BUILDING SIZE <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 /> oU <br />[lY'BUILDING $ ,j.LiOO VALUATION OF TOTAL CONSTRUCTION <br />MLECTRICAL a-O i) AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />GVPLUMBING <br />~ECHANICAL oJ <br />$ 1000 VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />, @"'6THER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />G-1fo <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />J~~ <br /> <br />COMPANY~~() yVl!+- Se.::t:~ <br />STATE CER OR REGIST # ...j..-1f()()()O I <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />********************************************************~********* <br /> <br />SIGNATURE <br /> <br />&~ <br /> <br />COMPANY ~) <br />STATE CERT OR REGIST # CR 0010 S'?2J <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />COMPANy~n1 H!f;!): <br />STATE CERT R REGIST # ~. H-oooo I I <br />CITY PROCESSING # <br /> <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />********************************************~*)*~~*;~**..********* <br />COMPANY 6d ~ <br />l~ f\ ~" STATE CERT OR REGIST # rJ.4C, () 113 90 '7 <br />~ CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />!\~ <br />( <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />