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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />1'7_. ~ {)~02 <br />DATE RECEIVED L ~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME tdzA- Aft? ,J..4/l (GJ/v frllj I' <br />JOB ADDRESS 37 L/()L( NFuf( OM. /:)Vc <br /> <br />PHONE PI.s -7/2 - /66 C{ <br /> <br />BLOCK <br /> <br />L-el 4D <br />SUBDIVISION ~NP' /-loa ( c(),II/ /Yl/# <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # '3'1- - 2-5' - 2( - 0010 - oz-YOO- [) If 0 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION u;n\DDITION OALTERATION o REPAIR ~STALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~ FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> OCOMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER flL0A1 //II1U1.. <br /> <br />DESCRI PTION OF <br /> <br />, ~STAURANT & ~TH DEPARTMENT APPROVAL <br />(jY ~ <br />WORK 80 ) L ~ ;-IF;}, J If (L JZft.l Sh// ScIZEt:iV f!-ooPt , <br />I . I <br />SQUARE FOOTAGE ~~y <br /> <br />~ <br />12 /< 2- '7 C/l{(POll r <br /> <br />BUILDING SI ZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ 133f'?; '2 7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />,. JIL/e.-, <br />W . R . E . C. V'-'/, rq::.. <br />/_~.---..... <br /> <br />/~ 5'Q I{ <br />~~ <br /> <br /> <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 />~ /1- 0ate.J! <br /> <br />COMPANY 5'iH (OIV>T/Zv'c.r/oA/ ()tC [EIVTRA-'- r:<-. <br />STATE CERT OR REGIST # C Be D S-7'7 r L <br />CITY PROCESSING # 2" <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ /lc (M~ <br /> <br />COMPANY AC.E FLC-e ,j2L c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1?'7 <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 />C1TY 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 />