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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Str~et, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ?f2ANtJ l-/tJf2-1 ZoAf /J1 /-1-;/ <br />JOB ADDRESS '37(; <f z LAf\/o/,5 A \/E <br /> <br />PHONE t!'/3- 76'"2 -I Owl.( <br /> <br />~I q2-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION fr;f!A-,uO /j{)(l/ 20/11 inN! <br /> <br />BLOCK <br /> <br />PARCEL ID # '3Y-- 2C; - 21- ODt 0 - 02t.foo - 0 '12-0 <br />WORK PROPSED: ~W CONSTRUCTION ~DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF.1 <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY 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 MOBI LE HOME <br />a--: 4Lu /J1 ( ,'Vv,Y\ <br />OTHER <br /> <br />, ~ESTAURANT & HEALTH~RTMENT APPROVAL <br />DESCRIPTION OF WORK 1'1)<. Lfg CfJPf()f!.( I 1l.)C /Lf Stl/~iJ/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />840 <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 />~UILDING <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br /> <br /> <br />F(~513 ' <br /> <br /> <br />$ 1~'7c'~. 10 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />9"ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. wille 5 (-J.f;p <br /> <br />o PLUMBING <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 /> <br />, ~~~~~j:;n~."-"""""~L~" . <br />.,~l1i)~~ :'~, ("r,,):~. ,; ~:II" ',1' .1',r~'), <br />ft . 1 , ~, '^ <br />_~...........-,-,1......:.-.....~_......................_~~..._....-........._........ ...~ <br /> <br />BUILDER <br />SIGNATURE ~ /l. ~~ <br /> <br />COMPANYJS N-f {D(\JsrR~/c /{o/v or- CEIV'Tf2AL t= L . <br />STATE CERT OR REGIST # CJSC057'7 f"z- <br />CITY PROCESSING #. 20 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ A. {bt.d <br /> <br />COMPANY 11 c[ ~Lfc Tl2l C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / f" 7 <br /> <br />*******************************************************,~********** <br />" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />*******************************************************'k********* <br /> <br />\ . <br />" <br />