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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 />DATE RECE IVED 9 ! "i~i .3 <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />CIVJ;V tJ <br />3 '7 54-0 <br /> <br />I-Io{l( Zof./ fl/l1-ifJ <br />N/~vk();1/l AV E <br /> <br />PHONE <br /> <br />tf / "3 - 71' 2 - / u0 C( <br /> <br />OWNER'S NAME <br /> <br />J--OT 4 L <br /> <br />SUBDIVISION 6~D !-k>IZ(Z6;V /11/-11 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 34 - 2C; ~ z 1- 00 10- D2J>bD- () 04-"2- (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: UfNEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERC IAL <br /> <br />g-ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />mNSTALL <br /> <br />o DEMOLI SH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER,4LVI1I1V(/~ <br /> <br />DESCRIPTION OF WORK <br /> <br />, c=J~AURANT & HEALTH DEPART~PROVAL ~) <br />lc II./- ~ <br />12. ~14 A-l~f3(J SOZr(~/" j!06;1/1.. i {V 14 5 t-f6~ / It 1\ 3b cA{ZfDfl-r <br />I , <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />950 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (lVSEERGY FORM~. <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 /> <br />[B'"SUILDING <br />~ECTRICAL <br /> <br />$ <br /> <br />I~ LlQ3, Zz- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE.. <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E. C. Wi flE SI-ft.":Jl <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 0 NO <br /> <br />BUILDER <br />SIGNATURE --.13./U-y~ <br /> <br />.......-... <br /> <br />COMPANY 15 -t /"; (j;yv$rlZe/c.rtojV 0/:: {(/'vrl!lJL Fe- , <br />/7 I? iln STATE CERT OR REGIST # Cf3Co0'1P'L <br />1-1. ~ CITY PROCESSING # Z~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />4',~ <br /> <br />COMPANY IJcE E LeG Ti~( (. <br />. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I r7 <br /> <br />ELECTRICIAN <br /> <br />****w************************************************************* <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 />C!TYPROCESSING # <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 />