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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-7S0-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME GM;vo /)0/2/ coN fJ1 Iff! <br />JOB ADDRESS 31((112- /VtU/(D/VI.. f}VE J-i)f 2-0 <br /> <br />PHONE 6/3-7tfZ -I{)~(( <br /> <br />SUBDIVISION, Gf44tvo !lOR' ?,-yV p11ff? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />'3lf - 2-t:; - 2-1 - ooe D - 0 2J-QO - 0200 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: UfNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~DIT ION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />rB-rNSTALL <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 /> <br />~;;ltV#lINviVl <br />OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RE~~RANT & HEALTH~RTMENT APPROV~__. <br />Cf.l->V ~ L!:l-~ <br />, D X Il- ~i-lI:O, I z X fv- .~ L R6~ ~dC;,VI. i , 2 )t '3 / C/'"f(2fl~ {2 r <br />/ ( <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />&~c <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 />PERMITS REQUESTED <br /> <br />~UILDHJG <br /> <br />$ <br /> <br />1 3 q 3 r. {o <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />liiYELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. RoE. C. k./I (2 E Si-I-t!:t? <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 AREAO YES <br /> <br />o NO <br /> <br /><i~TIiiliffm1~:;W;' :;r:"Jt1if; i~Q), <br />"It ' ,.:: l! < t,r ~ t ,,~iJ. <br /> <br />SIGNATURE <br /> <br />~/r~~ <br /> <br />COMPANY l? '/1 (ONs77lv(./tOjJ Or ci3Vn2/Il.. Pc \ <br />STATE CERT OR REGIST # CtJ(o~7?tf=-2- <br />CITY PROCESSING # 7-~ <br /> <br />BUILDER <br /> <br />*******************************************************'k********** <br /> <br />SIGNATURE <br /> <br />~/ IJ. ~ <br /> <br />. <br /> <br />COMPANY jJ 0E ISect:- T tz' c <br />o <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / r 1 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'- <br /> <br />PLUMBER <br /> <br />SIGN1TURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHl\.~ICAL <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 /> <br />\ . <br />