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<br />. ,i~)t-~.. . <br />.-!;p <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />S13-7S0-0020 FAX:S13-7S0-0021 <br />DATE RECEIVED h..e<::.. I 5' <br /> <br />OWNER'S NAME <br /> <br />R.'l/IU~ ~(} rJcl V <br /><)Rd-R (c? +if Slr-eeT <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE CONTACT FOR PERMITTING "f/3 d..t.j5- 17/~ <br /> <br />PHONE <br /> <br />7 J /-~-'15' b <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />II -?- (, - ~ / - 0 (;) L) I C) - CJ), J Of) - 0 III <br />, <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNI'l'S o MOBILE HOME <br /> o COMMERCIAl, o INDUSTRIAL OSWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE <br /> <br />/" I . !J <br />u... C.yIorJek" <br /> <br />RESIDENTIAL: A'I'TACH (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 />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />o ELECTRICAL <br /> <br />-$."I;2~ cJO, OcJ <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C. <br /> <br /> <br />o PLUMBING <br /> <br />.0 MJ;'.l'HANTl:AL <br /> <br />$ <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />""..""....------ , <br /> <br />/~/ ,~q& <br /> <br />MECHANCIAL INSTALLATION ( ~j <br /> <br />VALUATION OF <br /> <br />padwe~s JO pa4uTJd 'padA4 aweN <br /> <br />~uaw6paTMou~~e 5uT~e~ uosJad ]0 aJn~eu5TS <br /> <br />l[~eo ue a){e4 40U PHO PTPO ol["'\ pue <br />(uoT~e~T]T4UapT ]0 adA~) <br /> <br />pa~npoJd sell Ol[MO <br /> <br />JO 'aw 04 UMOU~ AlleUosJad sT 0l[1] <br />(pa6pBIMou){oe uosJad JO aweu) <br /> <br />Aq <br />0;;: , I JO A12P- s1'l[4 aw BJO]Bg <br />pa6paT~ou){oe seM 4uawnJ~suT 6UT06aJoJ al[J <br /> <br />30 J"JNClO;) <br /> <br />padwe4s JO pa=tuTJd 'padA4 aweN <br /> <br />4uawa6paTMou~~e 6uT~e~ uosJad ]0 aJn~euoTS <br /> <br />'l[4eo ue a){e4 :+ou PTPO PTPOOl[M pue <br />(uoT~eoT]T:+uaPT ]0 adA:+) <br /> <br />paonpoJd sell Ol[MO <br /> <br />JO 'aw 04 UMOU){ ATTeuosJad sT Ol[MO <br />(paopaTMOU){Oe uosJad JO aweu) <br /> <br />Aq <br />02: ' ]0 Aep - sTl[:+ aw aJo]ag <br />pa6palMou){oe seM :+uawnJ:+suT 6uT06aJoJ al[J <br /> <br />30 J",LNClO;) <br />