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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C;Z,4 NO 1-;;12-1 ?:JliI //1// I' <br />JOB ADDRESS 31 &oCc N [L 1ft o,~ L f) v,:: L--o T Z { <br /> <br />PHONE YI].- '7 f'? /00 t.f <br /> <br />SUBDIVISIO~ C/IAIt;p /!c;z I Z'of/' <br />- 0 S:/O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID #> l/ - 2 5' - 2 I - Or'L 0 - 0 L J'OC <br /> <br />WORK PROPSED: ~W CONSTRUCTION ~DITION o ALTERATION o REPAIR G-'lNSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ldSGi: FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL ~T1Lv;n J/VJlA <br /> o ER <br /> <br /> <br />APPROVAL _ ~) <br /> <br />r;X ~11 C RrO/Ct <br /> <br />DESCRIPTION OF WORK <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 /> <br />$ If '5 5'D . to 'D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />CiYELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E . c. l/t-IIZE Sl--r/:? <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />[1~ <br /> <br />..-... <br /> <br />COMPANY b"f(-! 'oIV51'lUGr:0I'I n/~ CC;V7?t1L ;i;L. <br />/.7. ,--:' / .1. STATE CERT OR REGIST # C/3( D ~ 17'7 q' 7 <br />C1- ~ CITY PROCESSING # 7--C.,P <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />{/ <br />I, <br />; dAM' 0 <br /> <br />/1 <br />/~ .. <br /> <br />~ <br /> <br />COMPANY /J c.F E~;;: c i!Z( C <br />, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # , ~ 7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGN1\TURE <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 /> <br />....,. <br />