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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />- <br /> <br />OWNER'S NAME ,5 t.JET~IJNO, !JA~ij}c..C r'15Sl>88iE PHONE r? 13 - ?'fl'~ -5.2.~c.> <br />JOB ADDRESS ~~,"~/a d.eT/I Ai/E, <br />LEGAL DESCRIPTION: LOT(S) I~ BLOCK J SUBDIVISION0~AJ '6/D <br />PARCEL ID # 0:).-;lC, -~/- 0/&'0 -00/00- O/rP- U (OBTAIN FRO[v] PROPERTY TAX NOTICE) <br /> <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />)( ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIM~lING POOL o OTHER <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />bQ.cL I 3 I 4 '/... ~O' r'\\1.I.S OY\V ~ ~ 'I-h~ v.-f I eLl' )( rs /.I. CO"t.X-r ece p 0..1-..'., <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 /> <br />~UILDING <br />~LECTRICAL <br /> <br />$ "';wi COO. to <br />t~\-5.~ J.oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />iV <br />/.:.l1n5f.:/ <br />/ <br /> <br />o PLUMBING <br />~ECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~ ROOFING <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ NO <br /> <br /> <br />:::~~~~ <br /> <br /> <br />****************************************************************** <br /> <br /> <br />Cm1PANY /1l/J/2TIN F u:ff: <br />STATE CERT OR REGIST # c.(!,t3D013g3 <br />CITY PROCESSING # q7 <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />PLUMBER .... COMPANY <br />SIGNATURE / ~?-.. = --_....._._._._-=:-::::::~""'-=c-:::. ST~~E P~~C~SSING <br /> <br />~...., ,..,.-,.,.....--....--- ---------- <br /> <br />*************************+********************************~; . , J~** <br />COMPANY ,4A1MEitJ~ /lTO;. I C!1:'()"uAfc; <br />STATE CERT OR REGIST # C A{()~r;'i ~ ~ 7 <br />CITY PROCESSING # .;<q 73 <br /> <br /> <br />-- <br /> <br /># <br /> <br /> <br />~ <br /> <br />*******************************************************-********** <br /> <br />OTHER rt~ 12M :r"'/ C/- <br />SIGNATURE__ r!. jJ6~, <br /> <br />COMPANY (,2~t//tJ '?~~G' <br />STATE CERT OR REGIST # fX.( f)oL/6;Z if J <br />CITY PROCESSING # J J ~ <br /> <br />*******************************************************k*~******* <br />