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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 RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME c'IT(l"J$ 1--I~mj[S PHONE <f'/7-'7132,-/{)fcl.( <br />JOB ADDRESS .37~oC{ ~Drl(~1I1t fiVE. J.-c-r /1.5 <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION CMl'itJ Hf)!Z-(2iW' /J1f1P <br />, <br /> <br />PARCEL ID # ~ I.f - Zr.;- - 2-1- <9010 - 0 '2ff"{)C - 0/ /~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DrNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: li3SGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />[B-J\DDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />9J:NSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />g--:::.4 L-v,vr I ,vV' Wl <br />OTHER <br /> <br />CJ <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />& HEALTH D,EPARTMENT APPROV~. <br />~ ~ <br />!?cJo/Vl,r- !::b/ I 2--~ CAfZ.;Jo fLr- <br /> <br />67i <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />~LJILDING <br /> <br />$ <br /> <br />t 3"" 8i-f . J? <br /> <br />VALLJATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLlJMBING <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 CONSTRLJCTION: 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 /> <br />~~"""Z'T'"J'lY,'7:'~,'";"'"" .>>.'" 't I <br />~ir~~Hm' q:'~t'fpt~J}'ll 'J::br!.rH~lIr~J'" <br />lliJl~t~~-""'~:L " <br /> <br />SIGNATURE <br /> <br />~ 4. a.u <br /> <br />COMPANY I3 rH cO/\/5r/ZVc.../ihv' Or Cc/VT!lI7c. FL <br />STATE CERT OR REGIST # Cf3(.O ,5" '7"'" t.f l. <br />CITY PROCESSING # ?-&, <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATLJRE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATGRE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <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 />SIGNATLJRE <br /> <br />***************************************************************** <br /> <br />( , <br />