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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 I 'J-j/5/ '03 <br />DATE RECEIVED, <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~ ('(S,Y\.J-t-- G- t) S'S <br />JOB ADDRESS 612. q \) Cl L l-\ D\'1 Sl fee ( <br />\ <br /> <br />PHONE t\3-- L1'%<-f -/-{3.3 <br /> <br />$UBDIVISION\ree.. LCtVle. V'i't~C)(O <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />ID -)...~ -:L\- 0000--00100- b600 <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH- <br /> <br />PROPOSED USE: DSGL FA~1ILY DWELLING <br />DCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />AfSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />S LG ,,,"" ..",; ;,,/) ~~ l t-. ~~~4('nnMS <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />o ELECTRICAL <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENErGY ORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTIO. ~c(oL ~ ~rr <br /> <br />~ &~t;~ <br />PERMITS REQUESTED C:;1'""~~ vJltlt <br />VALUATION OF TOTAL CONSTRUCTION .Ct ..\;.:(tj~ I!:AJ1.1...grl..JG <br />1 '-'"" I' ;:. ~ t, <br />o FLORIDA POWER 0 W.R.E~ t)'~ <br /> <br />AMP SERVICE <br /> <br /> <br />o BUILDING <br /> <br />$ l.D \ \ t') DO. cO <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 AREAD YES <br /> <br />o NO <br /> <br />BUILDBR ~ n <br />SIGNATURE;; ~'. '~ /1/ <br /> <br /> <br />COMPANY ~a PsY '~lJ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRI~ <br />SIGNATURE .. <br /> <br />.~~ <br /> <br />, <br /> <br />COlvJPANY ~ ~-:tt;\...Vr <br />STATE CERT OR REGIST # E.t.\?\DD i~53 <br />CITY PROCESSING # <br /> <br />********************************+***********************.k********* <br /> <br />PLUMBER <br /> <br /> <br />COMPAN~ ich A-OO l::>e L--~'t=i'l!&ld <br />STATE CERT OR REGIST # RP" Of) 3'8). 51 <br />CITY PROCESSING # <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 />