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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Streat, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED 9~.50 --lJ5 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME &/uAlv/J ~n( "ZO/J <br />JOB ADDRESS j? 35""L IV r: u Ie CoVV1..- <br /> <br />/)///-1;1 <br />AvE, <br /> <br />PHONE ,y /3 - 7cf'z -I o{g l( <br /> <br />LDf t.f I <br /> <br />SUBDIVISION G!Z/lrVtl !--Io/2( Z~;V fJ11-1r <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # ') <-{ - 2'5' - 21 - DO I 0 <br /> <br />04rOD - 0 iff 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF,\ <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />fi3'1\D D IT ION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />IB"fNSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />o OTHER fJWMlIv'e,HIL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br /><:Jiji) <br />/f)x /1 C;Y;[o. <br />; <br /> <br />& HEAqwT PARTMENT APPROVAL <br />b2 <br />12X I ,r- 12ft/Jet? S(;Zr::E;J f2<;6"(/l I <br />. , <br /> <br />,~ <br />I~ CAflJo(lr <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~22- <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 />~ILDING <br />~ECTRICAL <br /> <br />$ <br /> <br />/-----~ <br />_._-~ ) <br /> <br />PERMI T S REQUE S TED // "' if J- / <br />, q( / <br />, ~ () L( z., z~ VALUATION OF TOTAL CONSTRUCTION L----/// <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. w112i! 5f-1E?l <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 /> <br />SIGNATURE <br /> <br />~4~ <br /> <br />COMPANyj3 t 1-1 (oN5 (nUL TI 01\/ OF CvurM( {:-c <br />STATE CERT OR REGIST # rBCo 5 rrf7 <fL <br />CITY PROCESSING # ?-&> <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />r3wu A, ~ <br /> <br />COMPANY (Jet: fL-cc- ff2! (. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # JR1 <br /> <br />ELECTRICIAN <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 />***************************************************************** <br />